Halsey Drug LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

04679 Issued in NC

Legal business name

HALSEY DRUG LLC

Doing business as

Warrensville Drug Store

Practice address

5121 NC Highway 88 West
Warrensville, NC 28693-9209

Phone

(336) 384-3900

Fax

(336) 384-4041

NPI assigned

Aug 30, 2005

Last updated

Mar 4, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Spencer W Hodges, PHARMDNPI 1568051969

Title

Vice President

Phone

(828) 264-3055

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Warrensville Drug Store Doing business as

Medicare fee-for-service enrollment

Enrolled in NC2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

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

• Halsey Drug LLC

  dba Halsey Drug Company

  • Community/Retail Pharmacy
  • Sparta, NC
  • NPI 1457465437

  5991973893

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

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

• Halsey Drug LLC

  dba Halsey Drug Company

  • Community/Retail Pharmacy
  • Sparta, NC
  • NPI 1457465437

  O20190326001841

  Same enrollment

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

CLIA laboratory certificates

Medicare medical equipment & supply locations

Tax ID family

Halsey Drug Company2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Halsey Drug LLC

  dba Halsey Drug Company

  • Community/Retail Pharmacy
  • Sparta, NC
  • NPI 1457465437
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Spencer William Hodges, PHARMD

  • Pharmacist
  • Boone, NC
  • NPI 1568051969
  Authorized official Same address or phone
• Joyce Grubb, RPH

  • Pharmacist
  • Warrensville, NC
  • NPI 1992394118
  NPD (past)
• Miranda Hurley, RPH

  • Pharmacist
  • Sparta, NC
  • NPI 1295082949
  NPD (past)
• Michelle Townsend

  • Pharmacist
  • Warrensville, NC
  • NPI 1619566940
  NPD (past)

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1457344988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 DEERFIELD RD",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075009",
            "telephone_number": "828-355-3365",
            "fax_number": "828-264-0543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5121 NC HIGHWAY 88 WEST",
            "city": "WARRENSVILLE",
            "state": "NC",
            "postal_code": "286939209",
            "telephone_number": "336-384-3900",
            "fax_number": "336-384-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALSEY DRUG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-30",
        "last_updated": "2025-03-04",
        "certification_date": "2025-02-08",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "828-264-3055",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NC",
            "license": "04679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BNDD NUMBER",
            "identifier": "3423770",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0055129",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008515867",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Warrensville Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Appalachian District Health Department
• Appalachian District Health Department (AppHealthCare)
• Liana Rose Saffioti Epps
• Diane Bailey Gollott, OTR
• Joyce Grubb, RPH
• Thomas Hawkins, RPH
• Jan Carole Hershner, OTR
• Alexandria Elizabeth Holchin, LCSW
• Sheree Ann Hughes, RD
• Laura Elaine Kunzman, RN, BSN

• Pharmacy in Warrensville, NC
• Providers in Warrensville, NC by specialty
• Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.