MOUNTAIN STREET PHARMACY INC NPI 1063538825

NPI Information

  • NPI: 1063538825
  • Provider Name: MOUNTAIN STREET PHARMACY INC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • CLIA Number: 34D2205768
  • Address: 709 W MOUNTAIN ST
    KINGS MOUNTAIN, NC
    ZIP 28086
  • Phone: (704) 739-7225

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NPI Details

MOUNTAIN STREET PHARMACY INC is a durable medical equipment medical supplies in Kings Mountain, NC. The provider is 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. MOUNTAIN STREET PHARMACY INC NPI is 1063538825. The provider is registered as an organization entity type.

The provider's business location address is:

709 W MOUNTAIN ST
KINGS MOUNTAIN, NC
ZIP 28086-711
Phone: (704) 739-7225
Fax: (704) 739-7288

The provider's authorized official is Allan M Propst .
The authorized official title is Pharmacist and has the following contact phone number (704) 739-7225.

The CLIA number assigned to this NPI record is 34D2205768 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/22/2007 and was last updated on 6/4/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical Supplies7003NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13434898OTHERNORTH CAROLINANCPDP
20235812MEDICAIDNORTH CAROLINA
31211410001MEDICARE NSCNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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