Sam'S Drug Store of Robeson Co, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

09819 Issued in NC

Legal business name

SAM'S DRUG STORE OF ROBESON CO, LLC

Doing business as

Remedy Shoppe

Practice address

925 Seaside Rd SW Unit 1
Ocean Isle Beach, NC 28469-6152

Phone

(910) 774-4600

Fax

(910) 739-7207

NPI assigned

Oct 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Wesley Waters III, PHARM-D/ RPH

Title

President

Phone

(910) 774-4600

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Remedy Shoppe Doing business as

Locations

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1780766576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 SEASIDE RD SW UNIT 1",
            "city": "OCEAN ISLE BEACH",
            "state": "NC",
            "postal_code": "284696152",
            "telephone_number": "910-774-4600",
            "fax_number": "910-739-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 SEASIDE RD SW UNIT 1",
            "city": "OCEAN ISLE BEACH",
            "state": "NC",
            "postal_code": "284696152",
            "telephone_number": "910-774-4600",
            "fax_number": "910-739-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM'S DRUG STORE OF ROBESON CO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-774-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PHARM-D/ RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "09819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0785759",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0785501",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3427021",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3427021",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Remedy Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Presbyterian Regional Healthcare Corp
• Raleigh Jackson Putnam Jr., REG PHARMACIST
• Rebecca L Summerlin MD PA
• Remedy, Inc
• Raven Nichole Robles
• Corey Shelton
• Dwayne Smith, OTR/L
• Mykayla Solano
• South Coast Foot and Ankle Inc
• Kendall H Suh, M.D.

• Community/Retail Pharmacy in Ocean Isle Beach, NC
• Providers in Ocean Isle Beach, 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 May 25, 2011; 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.