Organization Active NPI

Halsey Drug LLC

Doing business as Halsey Drug Company

  • Community/Retail Pharmacy
  • Sparta, NC
National Provider Identifier
1457465437
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
10475 Issued in NC
Legal business name
HALSEY DRUG LLC
Doing business as
Halsey Drug Company
Practice address
55 S Main St
Sparta, NC 28675-9643
Phone
(336) 372-5599
Fax
(336) 372-6190
NPI assigned
Aug 18, 2006
Last updated
Mar 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Community/Retail Pharmacy 3336C0003X 10475 NC Primary

Addresses

Primary practice location

55 S Main St
Sparta, NC 28675-9643

Mailing address

345 Deerfield Rd
Boone, NC 28607-5009
Phone (828) 355-3354

Other identifiers 2

IdentifierTypeStateIssuer
2123836OtherPK
0035097MedicaidNC

Other names 1

  • Halsey Drug Company Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110812000104 NC DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 5991973893 Practice locations: Sparta, NC
O20190326001841 NC Part B Supplier - Mass Immunization (Roster Biller Only) 5991973893 1 other NPI on this enrollment
Practice locations: Sparta, NC; Warrensville, 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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2201382Halsey Drug LLC55 South Main Street, Sparta, NC 28675Certificate of waiverNov 19, 2026

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Halsey Drug LLC55 S Main St, Sparta, NC 28675-9643(336) 372-5599 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) Does not accept assignmentParticipating since Jan 30, 2011

National Provider Directory

National Provider Directory
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.

Locations

55 S Main St
Sparta, NC 28675
Phone (336) 372-5599

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1457465437",
    "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": "828-355-3354",
            "fax_number": "828-264-0543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 S MAIN ST",
            "city": "SPARTA",
            "state": "NC",
            "postal_code": "286759643",
            "telephone_number": "336-372-5599",
            "fax_number": "336-372-6190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALSEY DRUG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2025-03-04",
        "certification_date": "2025-02-09",
        "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": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "10475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2123836",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0035097",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Halsey Drug Company",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Halsey Drug Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sparta, NC

Sources for this page

  • 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.