Organization Active NPI

Carolina Discount Drug Store, LLC

  • Pharmacist
  • Dunn, NC
National Provider Identifier
1609192772
Registry record updated Apr 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
7275 Issued in NC
Legal business name
CAROLINA DISCOUNT DRUG STORE, LLC
Practice address
741 Tilghman Dr
Dunn, NC 28334-5507
Phone
(910) 734-7286
Fax
(910) 521-0875
NPI assigned
Apr 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2010

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

Authorized official

Name
Bobbie Jacobs Ghaffar
Title
Co-Owner
Phone
(910) 272-6400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 7275 NC Primary

Addresses

Primary practice location

741 Tilghman Dr
Dunn, NC 28334-5507

Mailing address

201 Livermore Dr
Pembroke, NC 28372-7322
Phone (910) 272-6400

National Provider Directory

National Provider Directory

Locations

741 Tilghman Dr
Dunn, NC 28334
Phone (910) 734-7286

201 Livermore Dr
Pembroke, NC 28372
Phone (910) 272-6400

NPI Registry JSON

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271203200000",
    "number": "1609192772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 LIVERMORE DR",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283727322",
            "telephone_number": "910-272-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 TILGHMAN DR",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283345507",
            "telephone_number": "910-734-7286",
            "fax_number": "910-521-0875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA DISCOUNT DRUG STORE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-14",
        "last_updated": "2010-04-14",
        "status": "A",
        "authorized_official_last_name": "GHAFFAR",
        "authorized_official_first_name": "BOBBIE",
        "authorized_official_middle_name": "JACOBS",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "910-272-6400"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "7275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunn, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; 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.