Organization Active NPI

The Jeffersons Drug Stores Inc

  • Durable Medical Equipment & Medical Supplies
  • West Jefferson, NC
National Provider Identifier
1619160736
Registry record updated Aug 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
7701140 Issued in NC
Legal business name
THE JEFFERSONS DRUG STORES INC
Doing business as
PEOPLES REXALL DRUG STORE
Practice address
423 E 2ND St
West Jefferson, NC 28694-9757
Phone
(336) 246-9990
Fax
(336) 246-6069
NPI assigned
Aug 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2007

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

Authorized official

Name
James Michael BadgerNPI 1487721510
Title
R.PH.
Phone
(336) 246-9990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 7701140 NC Primary

Addresses

Primary practice location

423 E 2ND St
West Jefferson, NC 28694-9757

Mailing address

423 E 2ND St
West Jefferson, NC 28694-9757
Phone (336) 246-9990

Other identifiers 1

IdentifierTypeStateIssuer
7701140MedicaidNC

Other names 1

  • PEOPLES REXALL DRUG STORE Doing business as

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
34D2187976Peoples Drug423 East 2ND St, West Jefferson, NC 28694Certificate of waiverJul 9, 2026

National Provider Directory

National Provider Directory

Locations

423 E 2nd St
West Jefferson, NC 28694
Phone (336) 246-9990

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187740800000",
    "number": "1619160736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 E 2ND ST",
            "city": "WEST JEFFERSON",
            "state": "NC",
            "postal_code": "286949757",
            "telephone_number": "336-246-9990",
            "fax_number": "336-246-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 E 2ND ST",
            "city": "WEST JEFFERSON",
            "state": "NC",
            "postal_code": "286949757",
            "telephone_number": "336-246-9990",
            "fax_number": "336-246-6069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE JEFFERSONS DRUG STORES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2007-08-22",
        "status": "A",
        "authorized_official_last_name": "BADGER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "R.PH.",
        "authorized_official_telephone_number": "336-246-9990"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "7701140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7701140",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEOPLES REXALL DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Jefferson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.