NPIMap

Organization Active NPI

Johnston County Pharmacies, Inc

  • Pharmacist
  • Four Oaks, NC
National Provider Identifier
1629480108
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11986 Issued in NC
Legal business name
JOHNSTON COUNTY PHARMACIES, INC
Practice address
6030 US Hwy 301 S
Four Oaks, NC 27524
Phone
(919) 980-4031
Fax
(919) 980-4032
NPI assigned
Jun 2, 2014
Last updated
Jun 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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

Authorized official

Name
Carl G Edwards Jr., PHARMDNPI 1063748408
Title
Pharmacy Manager
Phone
(919) 980-4031

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
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 11986 NC Primary

Addresses

Primary practice location

6030 US Hwy 301 S
Four Oaks, NC 27524

Mailing address

6030 US Hwy 301 S
Four Oaks, NC 27524
Phone (919) 980-4031

Other names 1

  • Realo Discount Drug Other name

National Provider Directory

National Provider Directory
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.

Locations

6030 US Highway 301 S
Four Oaks, NC 27524
Phone (919) 963-3777

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1629480108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6030 US HWY 301 S",
            "city": "FOUR OAKS",
            "state": "NC",
            "postal_code": "27524",
            "telephone_number": "919-980-4031",
            "fax_number": "919-980-4032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6030 US HWY 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": "2014-06-02",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "919-980-4031",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "11986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Realo Discount Drug",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Four Oaks, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; 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.