SHELBY DRUGSTORE, INC. (NPI# 1538569744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538569744 |
| Entity Type | Organization |
| Organization Name | SHELBY DRUGSTORE, INC. |
| Practice Address |
701 E Grover St Shelby NC 28150-4035 |
| Practice Telephone | 7044872939 |
| Mailing Telephone | 7044872939 |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2014-08-26 |
| Authorized Official Name | MARK BROOKS (PRESIDENT/RX MANAGER) |
| Authorized Official Telephone | 7044872939 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 10044 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 0235932 | 05 | |
| NC | NCPDP | 3410800 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972776573 | Shelby Drugstore, Inc. | Pharmacy | 701-1 East Grover Street, Shelby, NC 28150 | 2008-04-04 |
| Street Address |
701 E GROVER ST |
| City | SHELBY |
| State | NC |
| Zip Code | 28150-4035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992114862 | Mark Brooks | Pharmacist | 701 E Grover St, Shelby, NC 28150-4035 | 2014-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154981652 | Benjamin Caple | Dentist | 139 W Ross Grove Rd, Shelby, NC 28150 | 2019-06-17 |
| 1003471103 | Anne Marie Lackey | Physician Assistant | 215 Stacey Street, Lawndale, NC 28150 | 2019-05-03 |
| 1174001937 | Allstate Medical Equipment & Supplies | Durable Medical Equipment & Medical Supplies | 607 W Grover St, Shelby, NC 28150 | 2018-08-03 |
| 1013494970 | Shannon Bumgardner Standish | Nurse Practitioner | 1019 N Lafayette Street, Suite 1, Shelby, NC 28150 | 2018-07-24 |
| 1205323078 | Focused Care, Inc | Community/Behavioral Health | 834 Churchill Dr, Shelby, NC 28150 | 2018-04-17 |
| 1508373507 | Janelle Marie Velasco | Acupuncturist | 115 E Sumter St, Shelby, NC 28150 | 2017-12-29 |
| 1902344666 | Georgette Johnson | Durable Medical Equipment & Medical Supplies | 607 West Grover Street, Shelby, NC 28150 | 2017-02-02 |
| 1457703126 | Sweet Caroline Assisted Living LLC | Assisted Living Facility | 110 Greene Drive, Shelby, NC 28150 | 2016-07-06 |
| 1972954113 | Self Determination, LLC | Community Based Residential Treatment Facility, Mental Illness | 423 Millsap Rd, Shelby, NC 28150 | 2016-06-29 |
| 1306217666 | Living Family Supportive Services | Clinic/Center | 2538 West Dixon Blvd., Shelby, NC 28150 | 2015-10-13 |
| Find all providers in zip 28150 | ||||
| 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 |
|---|---|---|---|---|
| 1174001937 | Allstate Medical Equipment & Supplies | Durable Medical Equipment & Medical Supplies | 607 W Grover St, Shelby, NC 28150 | 2018-08-03 |
| 1902344666 | Georgette Johnson | Durable Medical Equipment & Medical Supplies | 607 West Grover Street, Shelby, NC 28150 | 2017-02-02 |
| 1548638075 | Integrity Medical Solutions, Inc. | Durable Medical Equipment & Medical Supplies | 1028 Railroad Ave., Shelby, NC 28152-6681 | 2015-09-15 |
| 1083882377 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 231 E Dixon Blvd, Shelby, NC 28152-6765 | 2008-02-20 |
| 1619151404 | Fisher Rx Direct LLC | Durable Medical Equipment & Medical Supplies | 1157 E Marion St Ste 1, Shelby, NC 28150-4890 | 2007-12-28 |
| 1215014311 | Hometown Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 178 N Michigan Ave, Shelby, MI 49455-1028 | 2006-11-01 |
| 1538268776 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 1170 East Marion Street, Shelby, NC 28150-4845 | 2006-09-22 |
| 1457450793 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 330 West Dixon Boulevard, Shelby, NC 28152-6551 | 2006-09-22 |
| 1013011782 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1830 W Dixon Blvd, Shelby, NC 28152-4351 | 2006-09-12 |
| 1235232927 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 300 E Grover St, Shelby, NC 28150-3920 | 2006-09-07 |
| Find all providers in SHELBY | ||||
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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.