Active NPI
D & J Drugs, Inc.
Doing business as Kenansville Pharmacy
- Pharmacy
- Kenansville, NC
National Provider Identifier
1467893370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 11577
- Legal business name
- D & J DRUGS, INC.
- Doing business as
- Kenansville Pharmacy
- Practice address
- 134 Liberty Square
Suite B
Kenansville, NC 28349 - Phone
- (910) 296-0500
- Fax
- (910) 296-0515
- NPI assigned
- Jul 9, 2013
- Last updated
- Dec 20, 2023
- Organization subpart
- Yes
- Parent organization
- D & J DRUGS INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Cooper Byrd, PHARMD
- Title
- Owner/Pharmacist
- Phone
- (910) 296-0500
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Customized Equipment (DME) | 332BC3200X | |||
| Pharmacy | 333600000X | 11577 | NC | Primary |
| Community/Retail Pharmacy | 3336C0003X | 11577 | NC |
Addresses
Primary practice location
134 Liberty Square
Suite B
Kenansville, NC 28349
Mailing address
134 Liberty Square
Suite B
Kenansville, NC 28349
Phone (919) 296-0500
Other names 1
- Kenansville Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140204000226 | NC | Part B Supplier - Pharmacy | 6002045523 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Kenansville, NC; Goldsboro, NC |
| O20150513002173 | NC | DME Supplier - Pharmacy | 6002045523 | Practice locations: Kenansville, 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 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Rosewood Pharmacy
- Community/Retail Pharmacy
- Goldsboro, NC
- NPI 1417409350
O20140204000226
National Provider Directory
National Provider Directory- Tax ID family
- D J Drugs Inc
- Part of
- D J Drugs Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Kenansville Pharmacy (LTC)
- Long Term Care Pharmacy
- Kenansville, NC
- NPI 1518812924
Locations
134 Liberty Sq
#B
Kenansville, NC 28349
Phone (910) 296-0500
Practitioners & affiliated clinicians
Practitioners 3
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
- Kenansville, NC
- NPI 1982387643
-
- Pharmacist
- Kenansville, NC
- NPI 1841579844
-
- Pharmacist
- Kenansville, NC
- NPI 1578194957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373328000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703030400000",
"number": "1467893370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 LIBERTY SQUARE",
"address_2": "SUITE B",
"city": "KENANSVILLE",
"state": "NC",
"postal_code": "28349",
"telephone_number": "919-296-0500",
"fax_number": "910-296-0515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 LIBERTY SQUARE",
"address_2": "SUITE B",
"city": "KENANSVILLE",
"state": "NC",
"postal_code": "28349",
"telephone_number": "910-296-0500",
"fax_number": "910-296-0515"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "D & J DRUGS, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "D & J DRUGS INC",
"enumeration_date": "2013-07-09",
"last_updated": "2023-12-20",
"certification_date": "2023-12-20",
"status": "A",
"authorized_official_last_name": "BYRD",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "COOPER",
"authorized_official_title_or_position": "OWNER/PHARMACIST",
"authorized_official_telephone_number": "910-296-0500",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NC",
"license": "11577",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NC",
"license": "11577",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kenansville Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Kenansville Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Kenansville, NC
- Anna Page Craft, NP
- Emily Megan Crumpler
- Isai Cruz, FNP
- Michael John Cullura, D.O.
- D & J Drugs Inc (Kenansville Pharmacy (LTC))
- Daniel M Dugan Jr., PHARM D.
- Duplin County Public Schools
- Duplin Eye Associates PA
- Duplin General Hospital (Duplin General Hospital Skilled Nursing Unit)
- Duplin General Hospital Incorporated
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.