Fairmont Drug Company LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

FAIRMONT DRUG COMPANY LLC

Doing business as

Fairmont Drug Company

Practice address

405 N Walnut St
Fairmont, NC 28340-2037

Phone

(910) 628-4200

NPI assigned

Dec 16, 2019

Last updated

Dec 16, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joe Williams, PHARMD

Title

President

Phone

(910) 628-4200

Specialties & licenses 1

Addresses

Other names 1

• Fairmont Drug Company Doing business as

Medicare fee-for-service enrollment

Enrolled in NC3 enrollments

Enrollment records 3

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

CLIA laboratory certificates

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

• Brisson Drugs Inc

  • Community/Retail Pharmacy
  • Saint Pauls, NC
  • NPI 1427105584

  Member Of

  NPD member
• Hope Mills Pharmacy LLC

  dba Clinic Pharmacy

  • Community/Retail Pharmacy
  • Hope Mills, NC
  • NPI 1700983640

  Member Of

  NPD member
• Medsmart Pharmacy #4 LLC

  dba Village Pharmacy

  • Community/Retail Pharmacy
  • Fayetteville, NC
  • NPI 1134838592

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joshua David Sumner, PHARMD

  • Pharmacist
  • Fairmont, NC
  • NPI 1508456658
  NPD

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576454400000",
    "number": "1841838372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 W BROAD ST",
            "city": "SAINT PAULS",
            "state": "NC",
            "postal_code": "283841533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N WALNUT ST",
            "city": "FAIRMONT",
            "state": "NC",
            "postal_code": "283402037",
            "telephone_number": "910-628-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRMONT DRUG COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-16",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-628-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairmont Drug Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aundrea Rae Emanuel, FNP
• Kasey Oxendine Epps, DMD
• Samuel Gene Evans Jr., DDS
• Fairmont Area EMS & Rescue
• Fairmont Dental Inc
• Fairmont Eye Clinic OD PLLC
• Fairmont Opco, LLC (Greenbrier of Fairmont)
• Family Alternatives, Inc. (Family Alternatives, Inc. Group Home # 2)
• Amanda Gem Floyd
• Latricia Lynn Freeman, LCSW

• Community/Retail Pharmacy in Fairmont, NC
• Providers in Fairmont, 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 Dec 16, 2019; 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.