Organization Active NPI

D-Rex Drugs of Jonesville Inc

Doing business as D-Rex Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Jonesville, NC
National Provider Identifier
1902944101
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
D-REX DRUGS OF JONESVILLE INC
Doing business as
D-Rex Pharmacy
Practice address
450 Winston Road
Jonesville, NC 28642
Phone
(336) 835-6407
Fax
(336) 526-8329
NPI assigned
Feb 1, 2007
Last updated
Sep 24, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
D REX DRUGS OF JONESVILLE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Authorized official

Name
Susan J Morrison
Title
Owner
Phone
(336) 835-6407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

450 Winston Road
Jonesville, NC 28642

Mailing address

450 Winston Road
Jonesville, NC 28642
Phone (336) 835-6407

Other identifiers 2

IdentifierTypeStateIssuer
7700649MedicaidNC
046M9OtherNCBCBS

Other names 1

  • D-Rex Pharmacy Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930074112 NC DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 9830247782 Practice locations: Jonesville, NC
O20150701001850 NC Part B Supplier - Pharmacy 9830247782 Practice locations: Jonesville, NC

National Provider Directory

National Provider Directory
Part of
D-Rex Drugs of Jonesville

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1902944101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 WINSTON ROAD",
            "city": "JONESVILLE",
            "state": "NC",
            "postal_code": "28642",
            "telephone_number": "336-835-6407",
            "fax_number": "336-526-8329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 WINSTON ROAD",
            "city": "JONESVILLE",
            "state": "NC",
            "postal_code": "28642",
            "telephone_number": "336-835-6407",
            "fax_number": "336-526-8329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D-REX DRUGS OF JONESVILLE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "D REX DRUGS OF JONESVILLE INC",
        "enumeration_date": "2007-02-01",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-835-6407"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7700649",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "046M9",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D-Rex Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jonesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.