Medifare Drug Center of Earl Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5077 Issued in NC

Legal business name

MEDIFARE DRUG CENTER OF EARL INC

Practice address

129 W Mountain St
Kings Mountain, NC 28086-3447

Phone

(704) 739-4721

Fax

(704) 739-4722

NPI assigned

Jun 21, 2006

Organization subpart

No

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

Authorized official

Name

Harold Bolick, RPH

Title

Owner

Phone

(704) 739-4721

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• GRIFFIN DRUG CENTER Doing business as

Locations

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459382400000",
    "number": "1467498352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 W MOUNTAIN ST",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280863447",
            "telephone_number": "704-739-4721",
            "fax_number": "704-739-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 W MOUNTAIN ST",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280863447",
            "telephone_number": "704-739-4721",
            "fax_number": "704-739-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIFARE DRUG CENTER OF EARL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2016-03-31",
        "status": "A",
        "authorized_official_last_name": "BOLICK",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-739-4721",
        "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": "5077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0235606",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2069854",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRIFFIN DRUG CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nerisa McCree
• David Ronald McDaniel, O.D.
• Patricia Simone McIntyre, CSAC,LPCA,LCASA,NCC
• Bonny Rebecca McLaughlin, CRNA
• Medi Fare Drug Center of Earl, Inc D/B/a Griffin Drug Center
• Alexander Mensah, MD
• Lauren Miller
• Roger K Miller, D.D.S. PA
• Mind on My Mental, P.L.L.C
• Angel Minerva, RN

• 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 Mar 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.