Shelby Drugstore, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

10044 Issued in NC

Legal business name

SHELBY DRUGSTORE, INC.

Practice address

701 E Grover St
Shelby, NC 28150-4035

Phone

(704) 487-2939

NPI assigned

Aug 26, 2014

Organization subpart

No

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

Authorized official

Name

Mark Brooks, RPHNPI 1992114862

Title

President/RX Manager

Phone

(704) 487-2939

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare medical equipment & supply locations

Tax ID family

Shelby Drugstore Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Shelby Drugstore, Inc.

  • Community/Retail Pharmacy
  • Shelby, NC
  • NPI 1972776573
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Brooks, RPH

  • Pharmacist
  • Shelby, NC
  • NPI 1992114862
  NPD Authorized official

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1538569744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E GROVER ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504035",
            "telephone_number": "704-487-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E GROVER ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504035",
            "telephone_number": "704-487-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY DRUGSTORE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-26",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT/RX MANAGER",
        "authorized_official_telephone_number": "704-487-2939",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "10044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3410800",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0235932",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelby Anesthesiology Associates PA
• Shelby Associates in Psychiatry, P.a.
• Shelby Bone and Joint Clinic, P.a.
• Shelby Children'S Clinic
• Shelby Chiropractic PLLC
• Shelby Drugstore, Inc.
• Shelby Eye Centers, P.a.
• Shelby Family Practice
• Shelby House LLC
• Shelby Internal Medicine, Inc

• All providers in Shelby, NC
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.