Seagrove Drug

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

00167 Issued in NC

Legal business name

SEAGROVE DRUG

Doing business as

co-care medical

Practice address

900 North Fayetteville Street
Asheboro, NC 27203-4642

Phone

(336) 626-3555

Fax

(336) 625-2355

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Leon Stanley Haywood, RPH

Title

Ceo

Phone

(336) 626-3555

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• co-care medical Doing business as

Locations

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710072855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 NORTH FAYETTEVILLE STREET",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272034642",
            "telephone_number": "336-626-3555",
            "fax_number": "336-625-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 NORTH FAYETTEVILLE STREET",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272034642",
            "telephone_number": "336-626-3555",
            "fax_number": "336-625-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAGROVE DRUG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAYWOOD",
        "authorized_official_first_name": "LEON",
        "authorized_official_middle_name": "STANLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-626-3555",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "00167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7795155",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7700676",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "co-care medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Larry J. Sanzenbacher, MD
• Erica Scales, LCMHC, LCAS
• Douglas E Schultz, MD
• Robert B Scott, MD
• Susan Arritt Scott, M.ED
• Ryan Seibert
• Debra Beth Seltzer Lewinter, LCSWA
• Senior Home Helpers LLC
• Senior Home Helpers,LLC
• Serenity @ Shiloh LLC

• Durable Medical Equipment & Medical Supplies in Asheboro, NC
• Providers in Asheboro, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.