Organization Active NPI

Terminal Drug Store Inc

  • Community/Retail Pharmacy
  • Wilson, NC
National Provider Identifier
1801993746
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
TERMINAL DRUG STORE INC
Practice address
408 Nash St S
Wilson, NC 27893-3888
Phone
(252) 243-2102
Fax
(252) 243-6656
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Sidney Harmon, RPH
Title
Owner
Phone
(252) 243-2102

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 02647 NC
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 02647 NC
Pharmacy 333600000X 02647 NC
Community/Retail Pharmacy 3336C0003X Primary
Prosthetic/Orthotic Supplier 335E00000X 02647 NC

Addresses

Primary practice location

408 Nash St S
Wilson, NC 27893-3888

Mailing address

408 Nash St S
Wilson, NC 27893-3888
Phone (252) 243-2102

Other identifiers 2

IdentifierTypeStateIssuer
3401685OtherOTHER ID NUMBER-COMMERCIAL NUMBER
7700341MedicaidNC

National Provider Directory

National Provider Directory

Locations

408 Nash St S
Wilson, NC 27893
Phone (252) 243-2101

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1801993746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 NASH ST S",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933888",
            "telephone_number": "252-243-2102",
            "fax_number": "252-243-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 NASH ST S",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933888",
            "telephone_number": "252-243-2102",
            "fax_number": "252-243-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERMINAL DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "HARMON",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-243-2102",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "02647",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NC",
            "license": "02647",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NC",
            "license": "02647",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NC",
            "license": "02647",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3401685",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7700341",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.