NPIMap

Organization Active NPI

Mast Drug Co Inc

  • Long Term Care Pharmacy
  • Williamston, NC
National Provider Identifier
1972286540
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
MAST DRUG CO INC
Practice address
307 West Blvd
Williamston, NC 27892-2145
Phone
(252) 792-1015
Fax
(252) 792-2174
NPI assigned
Aug 10, 2023
Organization subpart
Yes
Parent organization
MAST DRUG CO INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Authorized official

Name
Richard I Flye
Title
President
Phone
(252) 438-3112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

307 West Blvd
Williamston, NC 27892-2145

Mailing address

805 S Garnett St
Henderson, NC 27536-4512
Phone (252) 438-3112

Other names 1

  • MAST PHARMACY LTC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mast Drug Co Inc12 organizations share this tax ID, including this one
Part of
Mast Drug Co Inc

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691625600000",
    "number": "1972286540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 S GARNETT ST",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275364512",
            "telephone_number": "252-438-3112",
            "fax_number": "252-492-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 WEST BLVD",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278922145",
            "telephone_number": "252-792-1015",
            "fax_number": "252-792-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAST DRUG CO INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAST DRUG CO INC",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "FLYE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-438-3112"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAST PHARMACY LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williamston, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.