Glenn and Martin Drug

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

GLENN AND MARTIN DRUG

Practice address

100 S Center St
Mt Olive, NC 28365

Phone

(919) 658-2165

Fax

(919) 658-2165

NPI assigned

Aug 10, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ryland Shaw, OR CINDY SUMMERLIN

Title

Partner

Phone

(919) 658-2165

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1982615548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S CENTER ST",
            "city": "MT OLIVE",
            "state": "NC",
            "postal_code": "28365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S CENTER ST",
            "city": "MT OLIVE",
            "state": "NC",
            "postal_code": "28365",
            "telephone_number": "919-658-2165",
            "fax_number": "919-658-2165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN AND MARTIN DRUG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "RYLAND",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "919-658-2165",
        "authorized_official_credential": "OR CINDY SUMMERLIN"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NC",
            "license": "02304",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3409201",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0965053",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.