Elder Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

02274 Issued in NC

Legal business name

ELDER DRUG INC

Practice address

804 N Lindsay St
High Point, NC 27262-3902

Phone

(336) 889-4422

Fax

(336) 887-1549

NPI assigned

Jul 11, 2006

Organization subpart

No

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

Authorized official

Name

James Elder, RPH

Title

Pres

Phone

(336) 883-6670

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• ELDER DRUG INC Doing business as

Locations

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297382400000",
    "number": "1477587665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 N LINDSAY ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272623902",
            "telephone_number": "336-889-4422",
            "fax_number": "336-887-1549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 N LINDSAY ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272623902",
            "telephone_number": "336-889-4422",
            "fax_number": "336-887-1549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDER DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2011-02-11",
        "status": "A",
        "authorized_official_last_name": "ELDER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "336-883-6670",
        "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": "02274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3407562",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0415323",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELDER DRUG INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Otavia T Edwards, RN
• Lena Ee, FNP
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• Muhammad Shakir Ejaz, M.D
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• Brea Eller
• Karen Austin Elliott, MA LPC LCAS
• Tracey M Elliott, RN

• All providers in High Point, NC
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2011; 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.