Organization Active NPI

Realo Discount Drugs of Onslow Inc

  • Community/Retail Pharmacy
  • Jacksonville, NC
National Provider Identifier
1447573969
Registry record updated Jan 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
10489 Issued in NC
Legal business name
REALO DISCOUNT DRUGS OF ONSLOW INC
Practice address
423 Yopp Rd Ste 200
Jacksonville, NC 28540-3594
Phone
(910) 347-9684
Fax
(910) 455-0622
NPI assigned
Mar 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2016

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

Authorized official

Name
Robert McLaughlin, PHARMACIST
Title
President
Phone
(252) 639-9006

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 10489 NC Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

423 Yopp Rd Ste 200
Jacksonville, NC 28540-3594

Mailing address

1301 Commerce Dr
New Bern, NC 28562-2213
Phone (252) 639-9006

Other identifiers 1

IdentifierTypeStateIssuer
2124153OtherPK

Other names 1

  • Realo Discount Drugs Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100818000269 NC Part B Supplier - Mass Immunization (Roster Biller Only) 3476687047 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Jacksonville, NC
O20100930085255 NC DME Supplier - Pharmacy 3476687047 Practice locations: Jacksonville, NC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Realo Discount Drugs of Onslow Inc423 Yopp Rd, Jacksonville, NC 28540-3594(910) 347-9684 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Jul 22, 2010

National Provider Directory

National Provider Directory

Locations

423 Yopp Rd
#200
Jacksonville, NC 28540
Phone (910) 347-9684

NPI Registry JSON

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452470400000",
    "number": "1447573969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 COMMERCE DR",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622213",
            "telephone_number": "252-639-9006",
            "fax_number": "252-639-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 YOPP RD STE 200",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285403594",
            "telephone_number": "910-347-9684",
            "fax_number": "910-455-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REALO DISCOUNT DRUGS OF ONSLOW INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-11",
        "last_updated": "2016-01-11",
        "status": "A",
        "authorized_official_last_name": "MCLAUGHLIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-639-9006",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "10489",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2124153",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Realo Discount Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.