Iredell Drug Care, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

06015 Issued in NC

Legal business name

IREDELL DRUG CARE, INC

Practice address

3478 E Broad St
Statesville, NC 28625-4523

Phone

(704) 878-6681

NPI assigned

Nov 30, 2011

Organization subpart

No

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

Authorized official

Name

Alan Banner

Title

Owner/Pharmacist

Phone

(704) 878-6681

Specialties & licenses 1

Addresses

Other names 1

• Banner Drug, Co Doing business as

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1609143908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3478 E BROAD ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286254523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3478 E BROAD ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286254523",
            "telephone_number": "704-878-6681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IREDELL DRUG CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "BANNER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "704-878-6681"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "06015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Banner Drug, Co",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Iredell County DSS
• Iredell County Group Services, PLLC
• Iredell County Health Department
• Iredell County Rescue Squad Inc
• Iredell Drug Care Inc.
• Iredell Head, Neck and Ear Ambulatory Surgery Center, Inc.
• Iredell Mem Hospital Cap Program
• Iredell Memorial Hosp SNF Icf
• Iredell Memorial Hospital Incorporated
• Iredell Memorial Hospital Incorporated

• Community/Retail Pharmacy in Statesville, NC
• Providers in Statesville, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.