Organization Active NPI

Cape Fear Discount Drug, LLC

Doing business as Cape Fear Discount Drug

  • Community/Retail Pharmacy
  • Fayetteville, NC
National Provider Identifier
1649806969
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CAPE FEAR DISCOUNT DRUG, LLC
Doing business as
Cape Fear Discount Drug
Practice address
2800 Raeford Rd Ste 18
Fayetteville, NC 28303-5465
Phone
(910) 484-6100
Fax
(910) 485-0069
NPI assigned
Mar 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Authorized official

Name
Dustin Gay, PHARMDNPI 1184987307
Title
President/Owner
Phone
(910) 484-6100

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
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2800 Raeford Rd Ste 18
Fayetteville, NC 28303-5465

Mailing address

2800 Raeford Rd Ste 18
Fayetteville, NC 28303-5465
Phone (910) 484-6100

Other names 1

  • Cape Fear Discount Drug Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL capefeardiscountdrugs.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200923001083 NC Part B Supplier - Pharmacy 7517386634 Practice locations: Fayetteville, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1584489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584489600000",
    "number": "1649806969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 RAEFORD RD STE 18",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035465",
            "telephone_number": "910-484-6100",
            "fax_number": "910-485-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 RAEFORD RD STE 18",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035465",
            "telephone_number": "910-484-6100",
            "fax_number": "910-485-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPE FEAR DISCOUNT DRUG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-18",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A",
        "authorized_official_last_name": "GAY",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "910-484-6100",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "capefeardiscountdrugs.com",
            "affiliation": "N",
            "endpointDescription": "Secure Website (May message us directly)",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "(Direct messages)",
            "address_1": "2800 Raeford Rd Ste 18",
            "city": "Fayetteville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283035465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Cape Fear Discount Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.