EDEN DRUG INC (NPI# 1215089222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215089222 |
Entity Type | Organization |
Organization Name | EDEN DRUG INC |
Other Organization Name | EDEN DRUG HEALTH MART |
Practice Address |
103 W Stadium Dr Eden NC 27288-3329 |
Practice Telephone | 3366274854 |
Practice Fax Number | 3366278925 |
Mailing Telephone | 3366274854 |
Mailing Fax Number | 3366278925 |
Enumeration Date | 2007-01-18 |
Last Update Date | 2011-02-15 |
Authorized Official Name | MR. ROBERT L CROUCH (PRESIDENT, PHARMACIST) |
Authorized Official Telephone | 3366274854 |
Authorized Official Credential | R.PH, CPP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 09458 | NC | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 7700318 | 05 | |
NC | PARTNERS | 43812 | 01 |
VA | 9110968 | 05 | |
NC | BCBS | 03748 | 01 |
Other Name | Type Code |
---|---|
Eden Drug Health Mart | Doing Business As Name - Organization |
Street Address |
103 W STADIUM DR |
City | EDEN |
State | NC |
Zip Code | 27288-3329 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740246677 | Eden Drug, Inc. | Pharmacy | 103 W Stadium Dr, Eden, NC 27288-3329 | 2006-04-20 |
1053947366 | Eden Drug, Inc. | Pharmacy | 103 W Stadium Dr, Eden, NC 27288-3329 | 2020-03-18 |
1992298012 | Sandra Harrison Rakestraw | Registered Nurse | 103 W Stadium Dr, Eden, NC 27288-3329 | 2018-06-13 |
1811358088 | Amanda Crouch | Pharmacist | 103 W Stadium Dr, Eden, NC 27288-3329 | 2016-03-15 |
1780017038 | Chad York | Pharmacist | 103 W Stadium Dr, Eden, NC 27288-3329 | 2013-08-09 |
1194991745 | Stephanie Hodges Barnes | Orthotic Fitter | 103 W Stadium Dr, Eden, NC 27288-3329 | 2008-05-05 |
1780858126 | Robert L Crouch | Orthotic Fitter | 103 W Stadium Dr, Eden, NC 27288-3329 | 2008-04-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639781297 | Bailey Shea Scism | Pharmacist | 103 W Stadium Dr., Eden, NC 27288 | 2020-08-17 |
1538640628 | Donnell Corey Brown Jr. | Technician | 519 Orchard Drive, Eden, NC 27288 | 2018-08-27 |
1851728182 | Linda Mitchell | Physical Therapy Assistant | 114 E Kings Hwy, Eden, NC 27288 | 2013-10-01 |
1033341573 | Central State of The Carolinas, Inc. | Day Training, Developmentally Disabled Services | 229 Cedar St., Eden, NC 27288 | 2009-08-18 |
1114186483 | Enrich Cosmetic Center | Internal Medicine | 406 B Thompson St, Eden, NC 27288 | 2008-06-03 |
1265630891 | John R. Dabbs Jr. Dc PC | Preferred Provider Organization | 405 Boone Road, Eden, NC 27288 | 2007-07-05 |
1235283961 | James Harrison Eggleston | Dentist | 113 West Arbor Lane, Eden, NC 27288 | 2007-01-22 |
1962563940 | Barbara Collins Tanner | Nurse Practitioner | 134 North Pierce Street, Morehead High School Student Health Center, Eden, NC 27288 | 2006-12-13 |
1285690974 | Robert Maurice Vaughn | Chiropractor | 405 Boone Rd, Eden, NC 27288 | 2006-04-22 |
1619930666 | Direct Respiratory Services | Durable Medical Equipment & Medical Supplies | 302a North Pierce Street, Eden, NC 27288 | 2006-04-10 |
Find all providers in zip 27288 |
Taxonomy Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417281536 | Carolina Apothecary Inc | Durable Medical Equipment & Medical Supplies | 238 W Kings Hwy, Suite B, Eden, NC 27288-5095 | 2009-09-22 |
1124263140 | Drugs and Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 1018 Haywood St, Eden, NC 27288-2216 | 2008-12-04 |
1003915281 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 8079 North Main Street, Eden, NY 14057-1118 | 2006-09-22 |
1083713325 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 109 South Van Buren Road, Eden, NC 27288-5026 | 2006-09-22 |
1346253515 | Roe Rx Inc | Durable Medical Equipment & Medical Supplies | 2555 North Wolf Creek Drive, Eden, UT 84310 | 2006-08-15 |
1619930666 | Direct Respiratory Services | Durable Medical Equipment & Medical Supplies | 302a North Pierce Street, Eden, NC 27288 | 2006-04-10 |
1407834039 | Genesis Medical, Inc. | Durable Medical Equipment & Medical Supplies | 113 N Pierce Street, Eden, NC 27288-5018 | 2006-01-04 |
1083600696 | Layne's Family Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 509 S Van Buren Rd, Eden, NC 27288-5018 | 2005-09-20 |
1518966456 | Huffman Medical, Inc. | Durable Medical Equipment & Medical Supplies | 2260 Harrington Hwy, Eden, NC 27288-7550 | 2005-07-20 |
1932627734 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 109 S Van Buren Rd, Eden, NC 27288-5026 | 2017-09-01 |
Find all providers in EDEN |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.