Sentry Drug Center 16 Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SENTRY DRUG CENTER 16 INC

Practice address

1446 E Gaston St
Suite 201
Lincolnton, NC 28092-4416

Phone

(704) 732-1194

Fax

(704) 732-9709

NPI assigned

Jul 10, 2006

Last updated

Dec 19, 2019By 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

Todd Pigg, RPH

Title

President and Manager

Phone

(704) 732-1194

Specialties & licenses 5

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC2 enrollments

Enrollment records 2

Locations

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576713600000",
    "number": "1700810645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1446 E GASTON ST",
            "address_2": "STE 201",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280924412",
            "telephone_number": "704-732-1194",
            "fax_number": "704-732-9709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1446 E GASTON ST",
            "address_2": "SUITE 201",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280924416",
            "telephone_number": "704-732-1194",
            "fax_number": "704-732-9709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTRY DRUG CENTER 16 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A",
        "authorized_official_last_name": "PIGG",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT AND MANAGER",
        "authorized_official_telephone_number": "704-732-1194",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NC",
            "license": "04270",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3421788",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0555185",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victor Anthonyraj Selvaraj
• Daniel S. Senft, DO
• Sentry Drug Center 11
• Sentry Drug Center 11 Inc
• Sentry Drug Center 11 Inc
• Sentry Drug Center 16 Inc
• Sentry Drug Center 16 Inc
• Serenity Behaviiroal Center, LLC
• Caitlin Savannah Settlemyre
• Cori Setzer, RBT

• Community/Retail Pharmacy in Lincolnton, NC
• Providers in Lincolnton, 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 Dec 19, 2019; 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.