NPIMap

Organization Active NPI

Realo Discount Drug Stores of Eastern North Carolina Inc

Doing business as Realo Discount Drugs of Eastern NC Inc

  • Community/Retail Pharmacy
  • New Bern, NC
National Provider Identifier
1508886029
Registry record updated Jan 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
08326 Issued in NC
Legal business name
REALO DISCOUNT DRUG STORES OF EASTERN NORTH CAROLINA INC
Doing business as
Realo Discount Drugs of Eastern NC Inc
Practice address
137 Bridge Town Blvd
New Bern, NC 28560-7192
Phone
(252) 636-0236
Fax
(252) 672-1786
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2016

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

Authorized official

Name
Robert McLaughlin, PHARMACIST
Title
President
Phone
(252) 639-9006

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 08326 NC Primary

Addresses

Primary practice location

137 Bridge Town Blvd
New Bern, NC 28560-7192

Mailing address

1301 Commerce Dr
New Bern, NC 28562-2213
Phone (252) 639-9006

Other identifiers 2

IdentifierTypeStateIssuer
0255686MedicaidNC
2069686OtherPK

Other names 1

  • REALO DISCOUNT DRUGS OF EASTERN NC INC Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20051104000328 NC Part B Supplier - Mass Immunization (Roster Biller Only) 7618995986 14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: New Bern, NC; Wilson, NC; Wallace, NC; Hampstead, NC; Greenville, NC; Beaufort, NC; Fuquay Varina, NC; Clayton, NC…
O20100930095210 NC DME Supplier - Pharmacy 7618995986 Practice locations: New Bern, NC

Other NPIs with the same Medicare PAC ID 16

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

View all 16

Other NPIs on the same Medicare enrollment 12

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2093971Realo Discount Drug Stores of Eastern NC, Inc137 Bridge Town Blvd, New Bern, NC 28560Certificate of waiverApr 6, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Realo Discount Drug Stores of Easte137 Bridge Town Blvd, New Bern, NC 28560-7192(252) 636-0236 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jul 10, 2003

National Provider Directory

National Provider Directory
Tax ID family
Realo Discount Drug Stores15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Locations

137 Bridge Town Blvd
New Bern, NC 28560
Phone (252) 636-0236

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452470400000",
    "number": "1508886029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 COMMERCE DR",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622213",
            "telephone_number": "252-639-9006",
            "fax_number": "252-639-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 BRIDGE TOWN BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285607192",
            "telephone_number": "252-636-0236",
            "fax_number": "252-672-1786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REALO DISCOUNT DRUG STORES OF EASTERN NORTH CAROLINA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2016-01-11",
        "status": "A",
        "authorized_official_last_name": "MCLAUGHLIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-639-9006",
        "authorized_official_credential": "PHARMACIST"
    },
    "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": "08326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0255686",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2069686",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REALO DISCOUNT DRUGS OF EASTERN NC INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.