Elvington Drug LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

11045 Issued in NC

Legal business name

ELVINGTON DRUG LLC

Doing business as

Elvington Drug

Practice address

1126 Main Street
Fair Bluff, NC 28439

Phone

(910) 649-7721

Fax

(910) 649-6515

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Jonathan Lundy

Title

Member-Manager

Phone

(910) 649-7721

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Elvington Drug Doing business as

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309305600000",
    "number": "1891888020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98",
            "city": "FAIR BLUFF",
            "state": "NC",
            "postal_code": "284390098",
            "telephone_number": "910-649-7721",
            "fax_number": "910-649-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 MAIN STREET",
            "city": "FAIR BLUFF",
            "state": "NC",
            "postal_code": "28439",
            "telephone_number": "910-649-7721",
            "fax_number": "910-649-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELVINGTON DRUG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2011-06-29",
        "status": "A",
        "authorized_official_last_name": "LUNDY",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "MEMBER-MANAGER",
        "authorized_official_telephone_number": "910-649-7721"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "11045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3405974",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elvington Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Fair Bluff, NC
• Providers in Fair Bluff, 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 Jun 29, 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.