Organization Active NPI

Havelock Drug Company Inc

  • Community/Retail Pharmacy
  • Havelock, NC
National Provider Identifier
1497839393
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
09416 Issued in NC
Legal business name
HAVELOCK DRUG COMPANY INC
Practice address
1204 E Main St
Havelock, NC 28532-2405
Phone
(252) 444-0910
Fax
(252) 444-0721
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Authorized official

Name
Michael Malishewsky, BS RPH
Title
Pharmacy Manager
Phone
(252) 444-0910

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 09416 NC Primary

Addresses

Primary practice location

1204 E Main St
Havelock, NC 28532-2405

Mailing address

1204 E Main St
Havelock, NC 28532-2405
Phone (252) 444-0910

Other identifiers 2

IdentifierTypeStateIssuer
2066108OtherPK
0255710MedicaidNC

Other names 1

  • HAVELOCK DRUG COMPANY INC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1497839393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 E MAIN ST",
            "city": "HAVELOCK",
            "state": "NC",
            "postal_code": "285322405",
            "telephone_number": "252-444-0910",
            "fax_number": "252-444-0721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 E MAIN ST",
            "city": "HAVELOCK",
            "state": "NC",
            "postal_code": "285322405",
            "telephone_number": "252-444-0910",
            "fax_number": "252-444-0721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVELOCK DRUG COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "MALISHEWSKY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "252-444-0910",
        "authorized_official_credential": "BS 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": "09416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2066108",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0255710",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HAVELOCK DRUG COMPANY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Havelock, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.