Medi Fare Drug Center of Earl, Inc D/B/a Griffin Drug Center

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

5077 Issued in NC

Legal business name

MEDI FARE DRUG CENTER OF EARL, INC D/B/A GRIFFIN DRUG CENTER

Practice address

129 W Mountain St
Kings Mountain, NC 28086-3447

Phone

(704) 739-4721

Fax

(704) 739-4722

NPI assigned

Nov 29, 2007

Organization subpart

No

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

Authorized official

Name

Harold A Bolick

Title

President

Phone

(704) 739-4721

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1598947731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 W MOUNTAIN ST",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280863447",
            "telephone_number": "704-739-4721",
            "fax_number": "704-739-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 W MOUNTAIN ST",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280863447",
            "telephone_number": "704-739-4721",
            "fax_number": "704-739-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI FARE DRUG CENTER OF EARL, INC D/B/A GRIFFIN DRUG CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "BOLICK",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-739-4721"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "5077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7702485",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• McCree Transport LLC
• Nerisa McCree
• David Ronald McDaniel, O.D.
• Patricia Simone McIntyre, CSAC,LPCA,LCASA,NCC
• Bonny Rebecca McLaughlin, CRNA
• Medifare Drug Center of Earl Inc (Griffin Drug Center)
• Alexander Mensah, MD
• Lauren Miller
• Roger K Miller, D.D.S. PA
• Mind on My Mental, P.L.L.C (Mind on my mental)

• Durable Medical Equipment & Medical Supplies in Kings Mountain, NC
• Providers in Kings Mountain, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.