Organization Active NPI

Beam&Putnam Inc

  • Pharmacist
  • Gastonia, NC
National Provider Identifier
1528021375
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
7051 Issued in NC
Legal business name
BEAM&PUTNAM INC
Practice address
701 W Franklin Blvd
Gastonia, NC 28052-3830
Phone
(704) 867-9611
Fax
(704) 864-7466
NPI assigned
Apr 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Roger Delane Putnam
Title
Owner/MGR
Phone
(704) 867-9611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X 7051 NC Primary

Addresses

Primary practice location

701 W Franklin Blvd
Gastonia, NC 28052-3830

Mailing address

701 W Franklin Blvd
Gastonia, NC 28052-3830
Phone (704) 867-9611

Other identifiers 2

IdentifierTypeStateIssuer
3401205OtherNCNABP
0366129MedicaidNC

Other names 1

  • moss drug 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": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528021375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W FRANKLIN BLVD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280523830",
            "telephone_number": "704-867-9611",
            "fax_number": "704-864-7466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W FRANKLIN BLVD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280523830",
            "telephone_number": "704-867-9611",
            "fax_number": "704-864-7466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAM&PUTNAM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PUTNAM",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "DELANE",
        "authorized_official_title_or_position": "OWNER/MGR",
        "authorized_official_telephone_number": "704-867-9611",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "7051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3401205",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0366129",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "moss drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gastonia, 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.

Verify at the official NPI Registry.