Johnston County Pharmacies Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

11986 Issued in NC

Legal business name

JOHNSTON COUNTY PHARMACIES INC

Doing business as

Realo Discount Drug

Practice address

6030 US Highway 301 S
Four Oaks, NC 27524

Phone

(919) 980-4031

Fax

(919) 980-4032

NPI assigned

Apr 16, 2014

Last updated

Apr 16, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mitchell J Lequire, PHAMD.NPI 1730241886

Title

President

Phone

(919) 980-4031

Specialties & licenses 1

Addresses

Other names 1

• Realo Discount Drug Doing business as

Medicare fee-for-service enrollment

Enrolled in NC3 enrollments

Enrollment records 3

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

Medicare medical equipment & supply locations

Tax ID family

Johnston County Pharmacies Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Johnston County Pharmacies, Inc

  • Pharmacist
  • Four Oaks, NC
  • NPI 1629480108
  NPD tax ID

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.

• Mitchell Lequire, PHARMD.

  • Pharmacist
  • Smithfield, NC
  • NPI 1730241886
  Authorized official Same address or phone
• Carl Gene Edwards Jr., PHARMD

  • Pharmacist
  • Four Oaks, NC
  • NPI 1063748408
  NPD

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397606400000",
    "number": "1609295716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N 8TH ST",
            "address_2": "SUITE D",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774119",
            "telephone_number": "919-934-2111",
            "fax_number": "919-934-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6030 US HIGHWAY 301 S",
            "city": "FOUR OAKS",
            "state": "NC",
            "postal_code": "27524",
            "telephone_number": "919-980-4031",
            "fax_number": "919-980-4032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSTON COUNTY PHARMACIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-16",
        "last_updated": "2014-04-16",
        "status": "A",
        "authorized_official_last_name": "LEQUIRE",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-980-4031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHAMD."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "11986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Realo Discount Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• April Dawn Jackson, NP
• Emma Katherine Jernigan, LCSWA
• Dallas Johnson
• Olivia Johnson, MD
• Johnston County Group Homes, Inc.
• Johnston County Pharmacies, Inc
• Holly Roberts Jones, MSW, LCSW
• Victoria Marquitta Jones
• Jordan & Guirguis Inc (Parker Pharmacy)
• Kerr Drug Inc (Kerr Drug)

• Community/Retail Pharmacy in Four Oaks, NC
• Providers in Four Oaks, 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 Apr 16, 2014; 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.