CLINIC DRUG STORE, INC (NPI# 1932240009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932240009 |
| Entity Type | Organization |
| Organization Name | CLINIC DRUG STORE, INC |
| Practice Address |
106 Linville Street Glen Alpine NC 28628-0836 |
| Mailing Address |
106 Linville St Po Box 836 Glen Alpine NC 28628 |
| Practice Telephone | 8285840741 |
| Practice Fax Number | 8285840744 |
| Mailing Telephone | 8285840741 |
| Mailing Fax Number | 8285840744 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOHN BENNETT (OWNER) |
| Authorized Official Telephone | 8285840741 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 05572 | NC | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700947272 | Clinic Drug Store, Inc | Pharmacy | 1700 Harrison St Ste D, Batesville, AR 72501 | 2006-12-12 |
| Street Address |
106 LINVILLE STREET |
| City | GLEN ALPINE |
| State | NC |
| Zip Code | 28628-0836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417079054 | Dana M Taylor | Assisted Living Facility | 405 Linville Street, Morganton, NC 28628 | 2007-04-04 |
| 1437291317 | Dana Mccurry | Assisted Living Facility | 405 Linville St, Glen Alpine, NC 28628 | 2007-02-13 |
| 1558328781 | Table Rock Family Medicine | Family Medicine | 301 Linville Street, Glen Alpine, NC 28628 | 2006-05-01 |
| 1720492150 | Jean Tessneer | Nurse Practitioner | 301 Linville Street, Glen Alpine, NC 28628 | 2014-06-13 |
| 1952626384 | Blue Ridge Healthcare Medical Group, Inc | Neuromusculoskeletal Medicine & OMM | 301 Linville Street, Glen Alpine, NC 28628 | 2010-03-29 |
| 1083639017 | John Bennett | Pharmacist | 106 Linville, Glen Alpine, NC 28628-0836 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437291317 | Dana Mccurry | Assisted Living Facility | 405 Linville St, Glen Alpine, NC 28628 | 2007-02-13 |
| 1558328781 | Table Rock Family Medicine | Family Medicine | 301 Linville Street, Glen Alpine, NC 28628 | 2006-05-01 |
| 1720492150 | Jean Tessneer | Nurse Practitioner | 301 Linville Street, Glen Alpine, NC 28628 | 2014-06-13 |
| 1952626384 | Blue Ridge Healthcare Medical Group, Inc | Neuromusculoskeletal Medicine & OMM | 301 Linville Street, Glen Alpine, NC 28628 | 2010-03-29 |
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083639017 | John Bennett | Pharmacist | 106 Linville, Glen Alpine, NC 28628-0836 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720688401 | Melissa Claire Kratz | Pharmacist | 930 Hwy 711 East, Pembroke, NC 28372 | 2020-10-30 |
| 1679173611 | Keith Mcbrayer Hunt | Pharmacist | 630 Bostic Sunshine Hwy, Bostic, NC 28018-9779 | 2020-10-29 |
| 1518566066 | Amitkumar Prahaladbhai Patel | Pharmacist | 5450 New Hope Commons Dr # 2137, Durham, NC 27707-9716 | 2020-10-25 |
| 1619576568 | Efthalia Retsios Rodriguez | Pharmacist | 7860 Rea Rd # 16466, Charlotte, NC 28277-6502 | 2020-10-21 |
| 1578160149 | Brett Daniel England | Pharmacist | 401 Glenwood Ave Ste 101, Raleigh, NC 27603-1219 | 2020-10-06 |
| 1215544580 | Sarah Payne Maddox | Pharmacist | 1 Hospital Dr Rm 2231, Asheville, NC 28801-4550 | 2020-09-30 |
| 1093321739 | James Doyle Richardson | Pharmacist | 1072 N Main St Ste 103, Walnut Cove, NC 27052-9312 | 2020-09-18 |
| 1922614643 | Sharisse Berry | Pharmacist | 425 Sawyers Mill Rd Apt 306, Charlotte, NC 28262-1877 | 2020-09-17 |
| 1912512997 | Sheri Mitten | Pharmacist | 202 Swordgate Dr, Cary, NC 27513-1630 | 2020-09-15 |
| 1669087953 | Elton Wayne Long | Pharmacist | 5106 Nc Highway 87 S Ste 100, Fayetteville, NC 28306-3424 | 2020-09-13 |
| Find all providers with the same taxonomy | ||||
| City | GLEN ALPINE |
| Zip Code | 28628 |
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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.