NPIMap

Organization Active NPI

Community Pharmacy of Lincolnton LLC

Doing business as The Drug Store - Lincolnton

  • Community/Retail Pharmacy
  • Lincolnton, NC
National Provider Identifier
1972528586
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
12063 Issued in NC
Legal business name
COMMUNITY PHARMACY OF LINCOLNTON LLC
Doing business as
The Drug Store - Lincolnton
Practice address
626 Center Dr
Lincolnton, NC 28092-3712
Phone
(704) 735-2556
Fax
(704) 735-1656
NPI assigned
Jul 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Authorized official

Name
Mark Richards
Title
Owner/Treasurer
Phone
(704) 904-3287

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 12063 NC Primary

Addresses

Primary practice location

626 Center Dr
Lincolnton, NC 28092-3712

Mailing address

626 Center Dr
Lincolnton, NC 28092-3712
Phone (704) 735-2556

Other identifiers 1

IdentifierTypeStateIssuer
2147411OtherPK

Other names 1

  • The Drug Store - Lincolnton Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brookins Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1972528586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 CENTER DR",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280923712",
            "telephone_number": "704-735-2556",
            "fax_number": "704-735-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 CENTER DR",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280923712",
            "telephone_number": "704-735-2556",
            "fax_number": "704-735-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY PHARMACY OF LINCOLNTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER/TREASURER",
        "authorized_official_telephone_number": "704-904-3287"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "12063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2147411",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Drug Store - Lincolnton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincolnton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.