Active NPI
Fair Bluff Discount Drug, Inc
- Community/Retail Pharmacy
- Fair Bluff, NC
National Provider Identifier
1578618732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 04846
- Legal business name
- FAIR BLUFF DISCOUNT DRUG, INC
- Practice address
- 1089 Main St
Fair Bluff, NC 28439 - Phone
- (910) 649-7555
- Fax
- (910) 649-6424
- NPI assigned
- Jan 25, 2007
- 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
- Mr. James Hubert Meares Jr.
- Title
- Owner
- Phone
- (910) 649-7555
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 04846 | NC | Primary |
Addresses
Primary practice location
1089 Main St
Fair Bluff, NC 28439
Mailing address
PO Box 346
Fair Bluff, NC 28439-0346
Phone (910) 649-7555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0245589 | Medicaid | NC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Pharmacist
- Fair Bluff, NC
- NPI 1346257318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200096000000",
"number": "1578618732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 346",
"city": "FAIR BLUFF",
"state": "NC",
"postal_code": "284390346",
"telephone_number": "910-649-7555",
"fax_number": "910-649-6424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1089 MAIN ST",
"city": "FAIR BLUFF",
"state": "NC",
"postal_code": "28439",
"telephone_number": "910-649-7555",
"fax_number": "910-649-6424"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAIR BLUFF DISCOUNT DRUG, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-25",
"last_updated": "2008-01-12",
"status": "A",
"authorized_official_last_name": "MEARES",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "HUBERT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "910-649-7555",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NC",
"license": "04846",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0245589",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fair Bluff, NC
- Community Innovations Inc.
- Patricia Ann Davis
- DBG III LLC (Fair Bluff Assisted Living #2)
- DBG III LLC (Fair Bluff Assisted Living #1)
- Elvington Drug LLC (Elvington Drug)
- Fair Bluff Fire Department and Rescue Squad, Inc
- Fair Bluff Medical Clinic PLLC
- Leah Jordan Floyd
- Angiala Mia Guilmette
- Hope Advancement Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.