Active NPI
Halsey Drug LLC
Doing business as Halsey Drug Company
- Community/Retail Pharmacy
- Sparta, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 10475
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Spencer W Hodges, PHARMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2123836 | Other | PK | |
| 0035097 | Medicaid | NC |
Other names 1
- Halsey Drug Company
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110812000104 | NC | DME Supplier - Pharmacy | 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.
-
dba Warrensville Drug Store
- Pharmacy
- Warrensville, NC
- NPI 1457344988
O20190326001841
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2201382 | Halsey Drug LLC | Certificate of waiver | Nov 19, 2026 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Halsey Drug LLC | Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Halsey Drug Company
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.
-
- Pharmacist
- Boone, NC
- NPI 1568051969
-
- Pharmacist
- Sparta, NC
- NPI 1295082949
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.