Tas Drug, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5423 Issued in NC

Legal business name

TAS DRUG, INC

Practice address

500 W Church St
Cherryville, NC 28021-2812

Phone

(704) 435-5082

Fax

(704) 435-8661

NPI assigned

Aug 4, 2010

Last updated

Aug 4, 2010By 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

Antony Darien EasonNPI 1689993420

Title

Vice President

Phone

(704) 435-5082

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Tas Drug 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.

• Tas Drug, Inc

  • Community/Retail Pharmacy
  • Cherryville, NC
  • NPI 1760591796
  NPD tax ID

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.

• Antony Darien Eason, RPH

  • Pharmacist
  • Cherryville, NC
  • NPI 1689993420
  Authorized official Same address or phone

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280880000000",
    "number": "1548574205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W CHURCH ST",
            "city": "CHERRYVILLE",
            "state": "NC",
            "postal_code": "280212812",
            "telephone_number": "704-435-5082",
            "fax_number": "704-435-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W CHURCH ST",
            "city": "CHERRYVILLE",
            "state": "NC",
            "postal_code": "280212812",
            "telephone_number": "704-435-5082",
            "fax_number": "704-435-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAS DRUG, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-04",
        "last_updated": "2010-08-04",
        "status": "A",
        "authorized_official_last_name": "EASON",
        "authorized_official_first_name": "ANTONY",
        "authorized_official_middle_name": "DARIEN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "704-435-5082"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "5423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0365841",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7700966",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Successful Minds (Successful Minds, LLC)
• Successful Minds LLC
• Successful Minds LLC (Annette W. Burston)
• Successful Minds LLC (Annette W. Burston)
• Successful Minds, LLC (none)
• Tas Drug, Inc
• Tom G Dellinger OD PLLC (Cherryville Eye Care)
• Kelsey Stroud Tomberlin, FNP
• Theresa Shovlin Truesdale, ARNP
• Claudia Turkson-Ocran

• Community/Retail Pharmacy in Cherryville, NC
• Providers in Cherryville, 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 Aug 4, 2010; 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.