REALO DISCOUNT DRUG STORES OF GREENE CO., INC (NPI# 1184949810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184949810 |
| Entity Type | Organization |
| Organization Name | REALO DISCOUNT DRUG STORES OF GREENE CO., INC |
| Other Organization Name | REALO DISCOUNT DRUG |
| Practice Address |
104 Parkwood Dr Snow Hill NC 28580-1336 |
| Practice Telephone | 2527477004 |
| Practice Fax Number | 2527471029 |
| Mailing Telephone | 2527477004 |
| Mailing Fax Number | 2527471029 |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2014-08-18 |
| Authorized Official Name | WILLIAM ROBERT BIZZELL (PRESIDENT) |
| Authorized Official Telephone | 2525271081 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
10514 | NC | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
10514 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 0405084 | 05 | |
| NC | 7705264 | 05 |
| Other Name | Type Code |
|---|---|
| REALO DISCOUNT DRUG | Doing Business As Name - Organization |
| Street Address |
104 PARKWOOD DR |
| City | SNOW HILL |
| State | NC |
| Zip Code | 28580-1336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841378353 | Realo Discount Drugs | Pharmacy | 104 Parkwood Dr, Snow Hill, NC 28580-1336 | 2006-11-01 |
| 1306110978 | Realo Discount Drug Store of Greene Co Inc | Pharmacy | 104 Parkwood Dr, Snow Hill, NC 28580-1336 | 2012-02-29 |
| 1750440509 | Norman Colon Lewis | Pharmacist | 104 Parkwood Dr, Snow Hill, NC 28580-1336 | 2006-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568823698 | Gavin Mundy | Student in an Organized Health Care Education/Training Program | 7 Professional Drive, Snow Hill, NC 28580 | 2016-03-17 |
| 1689870222 | Edwards Community Support Services | Community Based Residential Treatment Facility, Mental Illness | 202 Hart Street, Snow Hill, NC 28580 | 2007-06-21 |
| 1669686887 | Cheryl Taylor Carraway | Dentist | 1117 Se Second St, Snow Hill, NC 28580 | 2007-05-09 |
| 1306882337 | Carmen Lucia Moreno | Pediatrics | 205 Martin Luther King Jr Pkway, Snow Hill, NC 28580 | 2006-06-20 |
| 1134195142 | Alexander Robertson | Pediatrics | 205 Martin Luther King Jr Parkway, Snow Hill, NC 28580 | 2006-02-28 |
| 1700888542 | Greene County Health Care Incorporated | Clinic/Center | 205 Martin Luther King Jr Pkwy, Snow Hill, NC 28580 | 2005-08-11 |
| 1972092054 | Heritage Family Health and Wellness Pa | Family Medicine | 1108b Kingold Blvd, Snow Hill, NC 28580 | 2018-05-04 |
| 1013127067 | Christine C Miller | Registered Nurse | 227 Kingold Blvd Ste B, Snow Hill, NC 28580-1303 | 2007-05-22 |
| 1407975816 | Greene County Dss | Case Management | 227 Kingold Blvd Ste A, Snow Hill, NC 28580-1303 | 2007-03-28 |
| 1205988276 | Port Human Services | Community/Behavioral Health | 227 Kingold Road, Suite C, Snow Hill, NC 28580-1303 | 2007-01-18 |
| Find all providers in zip 28580 | ||||
| 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] |
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| 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.