Active NPI
Innes Street Drug Co Inc
- Durable Medical Equipment & Medical Supplies
- Salisbury, NC
National Provider Identifier
1497769848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 5608
- Legal business name
- INNES STREET DRUG CO INC
- Doing business as
- Home Health Care of Salisbury
- Practice address
- 114 S Main St
Salisbury, NC 28144 - Phone
- (704) 636-2431
- Fax
- (704) 633-1893
- NPI assigned
- Jul 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Julie D Fuller
- Title
- Office Manager
- Phone
- (704) 636-2431
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 5608 | NC | Primary |
Addresses
Primary practice location
114 S Main St
Salisbury, NC 28144
Mailing address
PO Box 4065
Salisbury, NC 28145-4065
Phone (704) 636-2431
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7701592 | Medicaid | NC |
Other names 1
- Home Health Care of Salisbury
National Provider Directory
National Provider Directory- Tax ID family
- Innes St Drug Co Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Salisbury, NC
- NPI 1568731594
Locations
114 S Main St
Salisbury, NC 28144
Phone (704) 636-2431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1497769848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4065",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281454065",
"telephone_number": "704-636-2431",
"fax_number": "704-633-1893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 S MAIN ST",
"city": "SALISBURY",
"state": "NC",
"postal_code": "28144",
"telephone_number": "704-636-2431",
"fax_number": "704-633-1893"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INNES STREET DRUG CO INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FULLER",
"authorized_official_first_name": "JULIE",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "704-636-2431",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NC",
"license": "5608",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7701592",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Home Health Care of Salisbury",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Salisbury, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.