EDC DRUG STORES INC (NPI# 1710086947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710086947 |
| Entity Type | Organization |
| Organization Name | EDC DRUG STORES INC |
| Other Organization Name | RITE AID PHARMACY 11534 |
| Practice Address |
101 West Main Street Havelock NC 28532-2655 |
| Mailing Address |
200 Newberry Commons Etters PA 17319-9363 |
| Practice Telephone | 2524476303 |
| Mailing Telephone | 7177612633 |
| Mailing Fax Number | 7179758659 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2017-09-29 |
| Authorized Official Name | JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION) |
| Authorized Official Telephone | 7179755937 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
8664 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 0255645 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3422451 | 01 | |
| NC | MEDICAID DME | 7702376 | 01 |
| Other Name | Type Code |
|---|---|
| RITE AID PHARMACY 11534 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811098676 | Edc Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 1560 Highway 56, Creedmoor, NC 27522 | 2006-09-26 |
| 1225139090 | Edc Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 2455 Us 117 South, Goldsboro, NC 27530 | 2006-09-26 |
| 1689775439 | Edc Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 2462 Wycliff Road, Raleigh, NC 27607-2903 | 2006-09-26 |
| 1629179460 | Edc Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 5401 North Main Street, Cowpens, SC 29330 | 2006-09-26 |
| 1831290527 | Edc Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 2098 East Fire Tower Road, Greenville, NC 27858-4134 | 2006-09-26 |
| 1154422921 | Edc Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 1500 Martin Luther King Blvd Southeast, Wilson, NC 27893 | 2006-09-26 |
| 1841399086 | Edc Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 250 Invey Lane, Pinehurst, NC 28374-8803 | 2006-09-22 |
| 1023117264 | Edc Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 1703 Freeway Dr, Reidsville, NC 27320-7121 | 2006-09-22 |
| 1184723314 | Edc Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 3798 Guess Road, Durham, NC 27705-6909 | 2006-09-22 |
| 1407955602 | Edc Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 1401 Chapin Road, Chapin, SC 29036-8874 | 2006-09-22 |
| Street Address |
101 WEST MAIN STREET |
| City | HAVELOCK |
| State | NC |
| Zip Code | 28532-2655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194341396 | Tara-dawm R Tootle | Pharmacist | 1204 E Mail St, Havelock, NC 28532 | 2020-06-23 |
| 1194377903 | Jessy Eugene Warren Whittall | Military Health Care Provider | 4389 Beafort Rd, Havelock, NC 28532 | 2019-07-11 |
| 1508375676 | Lacey Leeann Robinson | Dentist | 610 Miller Boulevard, Havelock, NC 28532 | 2017-09-21 |
| 1053861112 | Adam Toliver Davis | Dentist | 502 Us Hwy 70 West, Havelock, NC 28532 | 2016-10-12 |
| 1467825331 | Stephany Agudelo | Social Worker | 102 Verona Dive, Havelock, NC 28532 | 2015-11-02 |
| 1386089225 | Joanna Tiaira Johnson | Nurse Practitioner | 4389 Beaufort, Havelock, NC 28532 | 2013-05-06 |
| 1962665653 | Coastal Childrens Clinic | Pediatrics | 218 Stone Bridge Square, Havelock, NC 28532 | 2008-07-03 |
| 1235325218 | Michelle Land Amber | Dietitian, Registered | 210 Stonebridge Square, Havelock, NC 28532 | 2007-09-24 |
| 1437217213 | Havelock Chiropractic Center P.a. | Chiropractor | 314 Highway 70 West, Havelock, NC 28532 | 2006-12-05 |
| 1831273127 | David Lee Woodward Jr. | Chiropractor | 314 Hwy. 70 West, Havelock, NC 28532 | 2006-10-24 |
| Find all providers in zip 28532 | ||||
| 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 |
|---|---|---|---|---|
| 1568565240 | North Carolina Cvs Pharmacy LLC | Pharmacy | 510 Hwy 70 W, Havelock, NC 28532 | 2006-09-07 |
| 1669098240 | Coastal Friendly Pharmacy | Pharmacy | 1204 E Main St, Havelock, NC 28532-2405 | 2020-06-19 |
| 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.