NPIMap

Organization Active NPI

Mast Drug Co., Inc

Doing business as Mast Pharmacy

  • Community/Retail Pharmacy
  • Williamston, NC
National Provider Identifier
1770824989
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
03766 Issued in NC
Legal business name
MAST DRUG CO., INC
Doing business as
Mast Pharmacy
Practice address
307 West Blvd
Williamston, NC 27892-2145
Phone
(252) 792-1015
Fax
(252) 792-2174
NPI assigned
Mar 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2013

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

Authorized official

Name
Polly D. Beal
Title
Adm. MGR.
Phone
(252) 438-3112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 03766 NC Primary

Addresses

Primary practice location

307 West Blvd
Williamston, NC 27892-2145

Mailing address

1910 Ross Mill Rd
Henderson, NC 27537-8789
Phone (252) 438-3112

Other names 1

  • Mast Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mast Drug Co Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1770824989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 ROSS MILL RD",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275378789",
            "telephone_number": "252-438-3112",
            "fax_number": "252-492-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 WEST BLVD",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278922145",
            "telephone_number": "252-792-1015",
            "fax_number": "252-792-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAST DRUG CO., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-13",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "BEAL",
        "authorized_official_first_name": "POLLY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "ADM. MGR.",
        "authorized_official_telephone_number": "252-438-3112"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "03766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mast Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williamston, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.