Service Drug Store of Pinetops Inc
Organization Active NPI Community/Retail Pharmacy · Pinetops, NC
NPI 1811069321 · NPPES record last updated Jan 5, 2011
Key facts
- NPI
- 1811069321
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 04750 (NC)
- Legal business name
- SERVICE DRUG STORE OF PINETOPS INC
- Practice address
- 102 West Hamlet Street
Pinetops, NC 27864 - Phone
- (252) 827-5532
- Fax
- (252) 827-2741
- NPI assigned
- Nov 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Johnny Hogg
- Title
- Owner
- Phone
- (252) 527-5532
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 04750 | NC | Yes |
Addresses
Primary practice location
102 West Hamlet Street
Pinetops, NC 27864
Mailing address
PO Box O
Pinetops, NC 27864-0350
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0335042 | Medicaid | NC | |
| 3409720 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names
- SERVICE DRUG STORE
Other providers in Pinetops, NC
- Kyseem'S Unity Group Home, LLC
- Pinetops Pharmacy, Inc.
- Lindsey Poythress
- S and J Drug Company, LLC
- Howard Brady Saunders
- Aquilla Monique Silver
- Jessi Stallings
- The Village Group LLC
- Tawanda Tenika Tillery
- Kayla Whitlock
All providers in Pinetops, NC · Community/Retail Pharmacy in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.