Archdale Drug Co Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

07464 Issued in NC

Legal business name

ARCHDALE DRUG CO INC

Doing business as

Archdale Drug Co Inc

Practice address

11220 N Main St
Archdale, NC 27263-2891

Phone

(336) 434-2776

Fax

(336) 434-5441

NPI assigned

Sep 20, 2006

Last updated

Oct 23, 2019By 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

Ryan Hoskins, RPHNPI 1699794743

Title

Owner

Phone

(336) 434-2776

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• ARCHDALE DRUG CO INC 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).

• Archdale Drug Co Inc

  dba Deep River Drug

  • Community/Retail Pharmacy
  • High Point, NC
  • NPI 1215024419

  5496831356

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

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

• Archdale Drug Co Inc

  dba Deep River Drug

  • Community/Retail Pharmacy
  • High Point, NC
  • NPI 1215024419

  O20080318000774

  Same enrollment

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

Tax ID family

Archdale Drug Co Inc2 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.

• Archdale Drug Co Inc

  dba Deep River Drug

  • Community/Retail Pharmacy
  • High Point, NC
  • NPI 1215024419
  NPD tax ID

Locations

Practitioners 5

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.

• Ryan Thomas Hoskins, RPH

  • Pharmacist
  • Archdale, NC
  • NPI 1699794743
  NPD Authorized official
• Carla E Ferrara, RPH

  • Pharmacist
  • High Point, NC
  • NPI 1558515684
  NPD (past)
• Charles Samuel Forrester, PHARM.D.

  • Pharmacist
  • High Point, NC
  • NPI 1548694250
  NPD (past)
• Brian Scott Marks, RPH

  • Pharmacist
  • High Point, NC
  • NPI 1396957072
  NPD (past)
• Lan Kim Truong, PHARMD

  • Pharmacist
  • High Point, NC
  • NPI 1104716802
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571788800000",
    "number": "1467559393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11220 N MAIN ST",
            "city": "ARCHDALE",
            "state": "NC",
            "postal_code": "272632891",
            "telephone_number": "336-434-2776",
            "fax_number": "336-434-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11220 N MAIN ST",
            "city": "ARCHDALE",
            "state": "NC",
            "postal_code": "272632891",
            "telephone_number": "336-434-2776",
            "fax_number": "336-434-5441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHDALE DRUG CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2019-10-23",
        "status": "A",
        "authorized_official_last_name": "HOSKINS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-434-2776",
        "authorized_official_credential": "RPH"
    },
    "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": "07464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2068357",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0765545",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7703098",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARCHDALE DRUG CO INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ARCHDALE DRUG CO INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jenny Anne Addison, RN, MSN, FNP-BC
• Barton Adkins, PHARMD
• Affect Provider Group P.S.C.
• Affect Provider Group, P.S.C. (Affect Provider Group, P.C.)
• Agape & Harmony Enrichment Center LLC
• Archdale Family Practice PA
• Tracy W Barber, MA CCC
• Otis Battles
• Mark Craig Beck, MD
• Sabrina Louise Bell, LCAS-P

• Community/Retail Pharmacy in Archdale, NC
• Providers in Archdale, 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 Oct 23, 2019; 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.