Mountain Street Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

07003 Issued in NC

Legal business name

MOUNTAIN STREET PHARMACY INC

Practice address

709 W Mountain St
Kings Mountain, NC 28086-2711

Phone

(704) 739-7225

Fax

(704) 739-7288

NPI assigned

Dec 29, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Allan Propst, RPHNPI 1417177619

Title

President

Phone

(704) 739-7225

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MOUNTAIN ST PHARMACY INC Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Allan Marion Propst, PHARMACIST

  • Pharmacist
  • Kings Mountain, NC
  • NPI 1417177619
  NPD (past) Authorized official
• Laura Propst Boyd, PHARMD

  • Pharmacist
  • Kings Mountain, NC
  • NPI 1316530264
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1447316716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 W MOUNTAIN ST",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280862711",
            "telephone_number": "704-739-7225",
            "fax_number": "704-739-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 W MOUNTAIN ST",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280862711",
            "telephone_number": "704-739-7225",
            "fax_number": "704-739-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN STREET PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "PROPST",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-739-7225",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "07003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0235812",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2071727",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOUNTAIN ST PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mind on My Mental, P.L.L.C
• Angel Minerva, RN
• Hazel Freida Mitchell
• Luisa Fernanda Morales, LCSWA
• Mountain Street Pharmacy Inc
• Carleigh Whitaker Newell, PA
• Steven Julian Newton, MD
• NHC Healthcare/Kings Mountain, LLC
• Elisha Ukonna Nnaji
• North Carolina CVS Pharmacy LLC

• Community/Retail Pharmacy in Kings Mountain, NC
• Providers in Kings Mountain, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.