Organization Active NPI

D & J Drugs, Inc.

  • Pharmacy
  • Kenansville, NC
National Provider Identifier
1467893370
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
11577 Issued in NC
Legal business name
D & J DRUGS, INC.
Practice address
134 Liberty Square
Suite B
Kenansville, NC 28349
Phone
(910) 296-0500
Fax
(910) 296-0515
NPI assigned
Jul 9, 2013
Organization subpart
Yes
Parent organization
D & J DRUGS INCAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Jennifer Cooper Byrd, PHARMD
Title
Owner/Pharmacist
Phone
(910) 296-0500

Other NPIs on the same Medicare enrollment 2

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

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

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

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
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

National Provider Directory

National Provider Directory
Tax ID family
Marmac Pharmacy (2 organizations share this tax ID)
Part of
Marmac Pharmacy

Specialties & licenses 4

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Customized Equipment (DME) 332BC3200X
Pharmacy 333600000X 11577 NC Primary
Community/Retail Pharmacy 3336C0003X 11577 NC

Addresses

NPPES NPI Registry

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 identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
3461706OtherNCNCPDP
Q454590001OtherNCMEDICARE FLU PTAN
11577OtherNCPHARMACY PERMIT

Other names 1

NPPES NPI Registry
  • Kenansville Pharmacy Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 20, 2023.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3461706",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE FLU PTAN",
            "identifier": "Q454590001",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY PERMIT",
            "identifier": "11577",
            "state": "NC"
        }
    ],
    "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

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.

Verify at the official NPI Registry.