NPIMap

Organization Active NPI

Cleveland Drug Company, Inc

  • Community/Retail Pharmacy
  • Cleveland, NC
National Provider Identifier
1710022595
Registry record updated Jul 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5010 Issued in NC
Legal business name
CLEVELAND DRUG COMPANY, INC
Practice address
11745B Statesville Blvd
Cleveland, NC 27013-9419
Phone
(704) 278-4788
Fax
(704) 278-4596
NPI assigned
Feb 20, 2007
Last updated
Jul 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2015

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

Authorized official

Name
Ms. Claudia Ellen RegisterNPI 1174519920
Title
President
Phone
(704) 278-4788

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 5010 NC Primary

Addresses

Primary practice location

11745B Statesville Blvd
Cleveland, NC 27013-9419

Mailing address

11745B Statesville Blvd
Cleveland, NC 27013-9419
Phone (704) 278-4788

Other identifiers 1

IdentifierTypeStateIssuer
0805671MedicaidNC

National Provider Directory

National Provider Directory

Locations

11745B Statesville Blvd
Cleveland, NC 27013
Phone (704) 278-4788

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1710022595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11745B STATESVILLE BLVD",
            "city": "CLEVELAND",
            "state": "NC",
            "postal_code": "270139419",
            "telephone_number": "704-278-4788",
            "fax_number": "704-278-4596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11745B STATESVILLE BLVD",
            "city": "CLEVELAND",
            "state": "NC",
            "postal_code": "270139419",
            "telephone_number": "704-278-4788",
            "fax_number": "704-278-4596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND DRUG COMPANY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "REGISTER",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-278-4788",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "5010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0805671",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; 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.