Active NPI
Sentry Drug Center 3, LLC Dba Familymed Pharmacy
- Community/Retail Pharmacy
- Stanley, NC
National Provider Identifier
1518362011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 06038
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0365973 | Medicaid | NC |
Other names 1
- FamilyMed Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Family Care RX
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Stanley, NC
- NPI 1215021621
-
- Community/Retail Pharmacy
- Maiden, NC
- NPI 1053493841
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.