Clinic Drug Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

10694 Issued in NC

Legal business name

CLINIC DRUG INC.

Doing business as

Clinic Drug Inc.

Practice address

106 Linville St
Morganton, NC 28655-2806

Phone

(828) 584-0741

Fax

(828) 584-0744

NPI assigned

Oct 19, 2010

Last updated

Jun 1, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey Czarkowski

Title

President

Phone

(828) 584-0741

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Clinic Drug Inc. Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Bennett, RPH

  • Pharmacist
  • Glen Alpine, NC
  • NPI 1083639017
  NPD (past)

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464739200000",
    "number": "1548570955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 836",
            "city": "GLEN ALPINE",
            "state": "NC",
            "postal_code": "286280836",
            "telephone_number": "828-584-0741",
            "fax_number": "828-584-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 LINVILLE ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286552806",
            "telephone_number": "828-584-0741",
            "fax_number": "828-584-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIC DRUG INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-19",
        "last_updated": "2016-06-01",
        "status": "A",
        "authorized_official_last_name": "CZARKOWSKI",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-584-0741"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "10694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548570955",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2128004",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinic Drug Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Andrea Clifford, CRNA
• Melvin Gaston Cline Jr., R.PH.
• Christy Lee Clontz, LCAS, LPC
• Van Truman Clontz, CFTSOO32
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• Community/Retail Pharmacy in Morganton, NC
• Providers in Morganton, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.