Active NPI
Farmville Discount Drug, Inc.
- Community/Retail Pharmacy
- Farmville, NC
National Provider Identifier
1942201173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 03259
- Legal business name
- FARMVILLE DISCOUNT DRUG, INC.
- Practice address
- 3708 N Main St
Farmville, NC 27828-1465 - Phone
- (252) 753-2092
- Fax
- (252) 753-2499
- NPI assigned
- Aug 10, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert L Crocker, R.PH
- Title
- President
- Phone
- (252) 753-2092
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 03259 | NC | |
| Community/Retail Pharmacy | 3336C0003X | 03259 | NC | Primary |
| Compounding Pharmacy | 3336C0004X | 03259 | NC | |
| Home Infusion Therapy Pharmacy | 3336H0001X | 03259 | NC |
Addresses
Primary practice location
3708 N Main St
Farmville, NC 27828-1465
Mailing address
PO Box 690
Farmville, NC 27828-0690
Phone (252) 753-2092
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7700071 | Medicaid | NC | |
| 6800352 | Medicaid | NC | |
| 0745224 | Medicaid | NC |
Other names 1
- Best Value Drug
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Farmville, NC
- NPI 1942347174
-
- Pharmacist
- Farmville, NC
- NPI 1134266224
-
- Pedorthist
- Farmville, NC
- NPI 1164628806
-
- Pharmacist
- Farmville, NC
- NPI 1740327832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1256601600000",
"number": "1942201173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 690",
"city": "FARMVILLE",
"state": "NC",
"postal_code": "278280690",
"telephone_number": "252-753-2092",
"fax_number": "252-753-2499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3708 N MAIN ST",
"city": "FARMVILLE",
"state": "NC",
"postal_code": "278281465",
"telephone_number": "252-753-2092",
"fax_number": "252-753-2499"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FARMVILLE DISCOUNT DRUG, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-10",
"last_updated": "2009-10-27",
"status": "A",
"authorized_official_last_name": "CROCKER",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "252-753-2092",
"authorized_official_credential": "R.PH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NC",
"license": "03259",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NC",
"license": "03259",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "NC",
"license": "03259",
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": "NC",
"license": "03259",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7700071",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6800352",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0745224",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Best Value Drug",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Farmville, NC
- DRS. Warren & Hardee, P.a.
- Eastern Eye Associates of Pitt-Greene, OD PA
- Whitney Elvis, AGNP-C
- Family and Community Resources, Inc
- Farmville Discount Drug, Inc
- Farmville Internal Medicine PA
- William Chavis Fields Jr., CFO
- Forris IV Care Transportation LLC
- Staci Hobgood Garner, PHARM D
- Charlotte Whitehurst Goodwyn, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.