NPIMap

Organization Active NPI

Realo Discount Drug Stores of Eastern North Carolina, Inc

Doing business as Realo Discount Drugs

  • Pharmacy
  • Wallace, NC
National Provider Identifier
1790111961
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
11618 Issued in NC
Legal business name
REALO DISCOUNT DRUG STORES OF EASTERN NORTH CAROLINA, INC
Doing business as
Realo Discount Drugs
Practice address
5655 S NC 41 Hwy
Wallace, NC 28466
Phone
(910) 285-1120
Fax
(910) 285-1124
NPI assigned
Sep 19, 2013
Last updated
May 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Authorized official

Name
Mr. Robert Joseph McLaughlin Jr., RPH
Title
President
Phone
(252) 639-9006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 11618 NC Primary

Addresses

Primary practice location

5655 S NC 41 Hwy
Wallace, NC 28466

Mailing address

1301 Commerce Dr
New Bern, NC 28562-2213
Phone (252) 639-9006

Other identifiers 3

IdentifierTypeStateIssuer
11618OtherNCNCBOP
1790111961MedicaidNC
C978OtherNCMEDICARE FLU

Other names 1

  • Realo Discount Drugs Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20051104000328 NC Part B Supplier - Mass Immunization (Roster Biller Only) 7618995986 14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: New Bern, NC; Wilson, NC; Wallace, NC; Hampstead, NC; Greenville, NC; Beaufort, NC; Fuquay Varina, NC; Clayton, NC…
O20131202001310 NC DME Supplier - Pharmacy 7618995986 Practice locations: Wallace, NC

Other NPIs with the same Medicare PAC ID 16

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 16

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2093892Realo Discount Drug Stores of Eastern NC, Inc5655 S NC 41 Hwy, Wallace, NC 28466Certificate of waiverApr 6, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Realo Discount Drug Stores of Easte5655 S NC 41 Hwy, Wallace, NC 28466-6095(910) 285-1120 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jul 10, 2003

National Provider Directory

National Provider Directory
Tax ID family
Realo Discount Drug Stores15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1790111961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 COMMERCE DR",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622213",
            "telephone_number": "252-639-9006",
            "fax_number": "252-639-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5655 S NC 41 HWY",
            "city": "WALLACE",
            "state": "NC",
            "postal_code": "28466",
            "telephone_number": "910-285-1120",
            "fax_number": "910-285-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REALO DISCOUNT DRUG STORES OF EASTERN NORTH CAROLINA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-19",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "MCLAUGHLIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-639-9006",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NC",
            "license": "11618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCBOP",
            "identifier": "11618",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790111961",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE FLU",
            "identifier": "C978",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Realo Discount Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wallace, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.