Organization Active NPI

Northwestern Drug Co Inc

Doing business as Town and Country Drugs

  • Community/Retail Pharmacy
  • Taylorsville, NC
National Provider Identifier
1598700718
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
01435 Issued in NC
Legal business name
NORTHWESTERN DRUG CO INC
Doing business as
Town and Country Drugs
Practice address
53 E Main Ave
Taylorsville, NC 28681-2540
Phone
(828) 632-2278
Fax
(828) 632-6044
NPI assigned
Jun 19, 2006
Last updated
Aug 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Authorized official

Name
Phil Icard, RPH
Title
Owner
Phone
(828) 632-2278

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 01435 NC Primary

Addresses

Primary practice location

53 E Main Ave
Taylorsville, NC 28681-2540

Mailing address

255 NC Highway 16 S
Taylorsville, NC 28681-3048
Phone (828) 632-2278

Other identifiers 3

IdentifierTypeStateIssuer
2067500OtherPK
0025130MedicaidNC
7702601MedicaidNC

Other names 1

  • TOWN AND COUNTRY DRUGS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930040127 NC DME Supplier - Pharmacy 1456471937 Practice locations: Taylorsville, NC
O20111115000884 NC Part B Supplier - Mass Immunization (Roster Biller Only) 1456471937 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Taylorsville, NC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
34D2182366Town and Country Drugs53 East Main Avenue, Taylorsville, NC 28681Certificate of waiverApr 20, 2028

National Provider Directory

National Provider Directory

Locations

53 E Main Ave
Taylorsville, NC 28681
Phone (828) 632-2278

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1598700718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 NC HIGHWAY 16 S",
            "city": "TAYLORSVILLE",
            "state": "NC",
            "postal_code": "286813048",
            "telephone_number": "828-632-2278",
            "fax_number": "828-632-6044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 E MAIN AVE",
            "city": "TAYLORSVILLE",
            "state": "NC",
            "postal_code": "286812540",
            "telephone_number": "828-632-2278",
            "fax_number": "828-632-6044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWESTERN DRUG CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "ICARD",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-632-2278",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "01435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2067500",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0025130",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7702601",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TOWN AND COUNTRY DRUGS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TOWN AND COUNTRY DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Taylorsville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.