Organization Active NPI

Edgecombe Drug Inc

  • Community/Retail Pharmacy
  • Rocky Mount, NC
National Provider Identifier
1598162240
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
12122 Issued in NC
Legal business name
EDGECOMBE DRUG INC
Practice address
1329 Tarboro St
Rocky Mount, NC 27801-6070
Phone
(252) 446-1154
NPI assigned
Nov 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

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

Authorized official

Name
Richard Kos, PHARMD
Title
Owner
Phone
(919) 475-8706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 12122 NC Primary

Addresses

Primary practice location

1329 Tarboro St
Rocky Mount, NC 27801-6070

Mailing address

PO Box 311
Rocky Mount, NC 27802-0311
Phone (919) 475-8706

Other names 1

  • Almand's Drug Store Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201214000186 NC Part B Supplier - Mass Immunization (Roster Biller Only) 2062824204 Practice locations: Rocky Mount, NC

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2160154Edgecombe Drug, Inc1329 Tarboro Street, Rocky Mount, NC 27801Certificate of waiverJan 6, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1598162240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 311",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278020311",
            "telephone_number": "919-475-8706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 TARBORO ST",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278016070",
            "telephone_number": "252-446-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGECOMBE DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-24",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "KOS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-475-8706",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "12122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Almand's Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.