Organization Active NPI

Farmville Discount Drug, Inc.

  • Community/Retail Pharmacy
  • Farmville, NC
National Provider Identifier
1942201173
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
03259 Issued in NC
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

Updated by the provider on Oct 27, 2009

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

Authorized official

Name
Robert L Crocker, R.PHNPI 1942347174
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7700071MedicaidNC
6800352MedicaidNC
0745224MedicaidNC

Other names 1

  • Best Value Drug Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

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.

Verify at the official NPI Registry.