CREEDMOOR DRUG COMPANY (NPI# 1235237108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235237108 |
| Entity Type | Organization |
| Organization Name | CREEDMOOR DRUG COMPANY |
| Other Organization Name | CREEDMOOR DRUG COMPANY |
| Practice Address |
108 N Main St Creedmoor NC 27522 |
| Mailing Address |
Po Box 523 Creedmoor NC 27522-0523 |
| Practice Telephone | 9195280041 |
| Practice Fax Number | 9195283185 |
| Mailing Telephone | 9195280041 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2016-03-29 |
| Authorized Official Name | ROBERT WHEELER (PRES/OWNER) |
| Authorized Official Telephone | 9195280041 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
04337 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 0395186 | 05 | |
| NC | 1232740001 | 05 | |
| PK | 2065737 | 01 |
| Other Name | Type Code |
|---|---|
| CREEDMOOR DRUG COMPANY | Doing Business As Name - Organization |
| Street Address |
108 N MAIN ST |
| City | CREEDMOOR |
| State | NC |
| Zip Code | 27522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720606122 | A Will To Live Home Health, LLC | Nursing Care | 109 South Elm Street Unit C, Creedmoor, NC 27522 | 2020-07-12 |
| 1255794152 | Corey Coles | Family Medicine | 2503 E Lyon Station Rd # 2, Creedmoor, NC 27522 | 2016-03-30 |
| 1033473038 | Heather Thompson Currin | Counselor | 102 N Main Street, Creedmoor, NC 27522 | 2012-06-25 |
| 1639439664 | Tonya N Daniel | Lactation Consultant, Non-RN | 2695 Horseshoe Road, Creedmoor, NC 27522 | 2012-05-24 |
| 1992098776 | Syam Bandi | Pharmacist | 1560 High Way 56, Creedmoor, NC 27522 | 2011-05-26 |
| 1568698272 | Jane Carolyn Crowder | Counselor | 2651 Tar River Road, Creedmoor, NC 27522 | 2009-06-09 |
| 1316188550 | North Carolina Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 612 N. Main St., Creedmoor, NC 27522 | 2009-03-18 |
| 1447388863 | Scott D. Mims | Counselor | 2150 Highway #56 East, Creedmoor, NC 27522 | 2007-02-28 |
| 1720120603 | Patricia Dillard Jones | Counselor | 2150 Hwy 56 E, Creedmoor, NC 27522 | 2007-02-13 |
| 1851458327 | Triangle Advanced Diagnostic Imaging. | Clinical Medical Laboratory | 122 West Church Street, Creedmoor, NC 27522 | 2007-01-03 |
| Find all providers in zip 27522 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336747872 | Jordon Baker Acquisitions, Inc. | Pharmacy | 604 S Hwy 226, Bakersville, NC 28705 | 2020-10-16 |
| 1871100164 | Pittsboro Pharmacy | Pharmacy | 630 East St Ste 11, Pittsboro, NC 27312-9475 | 2020-09-30 |
| 1245847599 | Western Brothers LLC | Pharmacy | 1943 E 7th St, Charlotte, NC 28204-2417 | 2020-09-29 |
| 1881200897 | University of North Carolina Health Care System | Pharmacy | 100 Eastowne Dr Ste 1100, Chapel Hill, NC 27514-2286 | 2020-09-16 |
| 1730792615 | Jill Manning West | Pharmacy | 118 Mackenan Dr., Suite 200, Cary, NC 27511 | 2020-08-28 |
| 1912516196 | Avs 2020 Inc | Pharmacy | 6118 Farrington Rd Ste H, Chapel Hill, NC 27517-8108 | 2020-07-23 |
| 1780202788 | Rosemond Salia | Pharmacy | 720 E Highway 74 Business, Rockingham, NC 28379 | 2020-07-07 |
| 1801410295 | Scenic Pharmacy, Inc | Pharmacy | 113 Scenic Outlet Ln Ste 1, Mount Airy, NC 27030-9978 | 2020-06-02 |
| 1356977672 | Cape Fear Discount Drug - Hope Mills, LLC | Pharmacy | 3018 N Main St, Hope Mills, NC 28348-1722 | 2020-03-18 |
| 1639705957 | Cape Fear Discount Drug - Ramsey, LLC | Pharmacy | 4417 Ramsey St, Fayetteville, NC 28311-2134 | 2020-03-18 |
| Find all providers with the same taxonomy | ||||
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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.