Organization Active NPI

Sentry Drug Center 3, LLC Dba Familymed Pharmacy

  • Community/Retail Pharmacy
  • Stanley, NC
National Provider Identifier
1518362011
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
06038 Issued in NC
Legal business name
SENTRY DRUG CENTER 3, LLC DBA FAMILYMED PHARMACY
Practice address
110 E Dallas Rd
Stanley, NC 28164-2051
Phone
(704) 263-0810
Fax
(704) 263-1222
NPI assigned
Oct 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

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

Authorized official

Name
Todd Pigg, RPH
Title
RPH - Owner
Phone
(704) 735-2551

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NC
Pharmacy 333600000X 06038 NC
Community/Retail Pharmacy 3336C0003X 06038 NC Primary
Compounding Pharmacy 3336C0004X NC
Specialty Pharmacy 3336S0011X NC

Addresses

Primary practice location

110 E Dallas Rd
Stanley, NC 28164-2051

Mailing address

2622 E Main St
Lincolnton, NC 28092-4319
Phone (704) 735-2551

Other identifiers 1

IdentifierTypeStateIssuer
0365973MedicaidNC

Other names 1

  • FamilyMed Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Family Care RX3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2622 E Main St
Lincolnton, NC 28092
Phone (704) 735-2551

NPI Registry JSON

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483920000000",
    "number": "1518362011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2622 E MAIN ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280924319",
            "telephone_number": "704-735-2551",
            "fax_number": "704-735-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E DALLAS RD",
            "city": "STANLEY",
            "state": "NC",
            "postal_code": "281642051",
            "telephone_number": "704-263-0810",
            "fax_number": "704-263-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTRY DRUG CENTER 3, LLC DBA FAMILYMED PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-27",
        "last_updated": "2017-01-09",
        "status": "A",
        "authorized_official_last_name": "PIGG",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "RPH - OWNER",
        "authorized_official_telephone_number": "704-735-2551",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NC",
            "license": "06038",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "06038",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0365973",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FamilyMed Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stanley, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.