Community Drug Store, Inc.

Primary specialty

PharmacistTaxonomy code 183500000X

License

00958 Issued in NC

Legal business name

COMMUNITY DRUG STORE, INC.

Practice address

206 W Center St Ste a
Lexington, NC 27292-3056

Phone

(336) 248-5255

Fax

(336) 249-2610

NPI assigned

Nov 29, 2006

Last updated

Aug 22, 2020By 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

Mr. James W Fulton, RPH

Title

Pharmacy Manager

Phone

(336) 248-5255

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578630265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 W CENTER ST STE A",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272923056",
            "telephone_number": "336-248-5255",
            "fax_number": "336-249-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 W CENTER ST STE A",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272923056",
            "telephone_number": "336-248-5255",
            "fax_number": "336-249-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY DRUG STORE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FULTON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "336-248-5255",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "00958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0295006",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Lexington, NC
• Providers in Lexington, NC by specialty
• Pharmacist in North Carolina

• 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.