EDEN DRUG INC NPI 1215089222

NPI Details

EDEN DRUG INC is a durable medical equipment medical supplies in Eden, 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. EDEN DRUG INC NPI is 1215089222. The provider is registered as an organization entity type.
The provider Is Doing Business As Eden Drug Health Mart.

The provider's business location address is:

103 W STADIUM DR
EDEN, NC
ZIP 27288-329
Phone: (336) 627-4854
Fax: (336) 627-8925

The provider's authorized official is Robert L Crouch .
The authorized official title is President, Pharmacist and has the following contact phone number (336) 627-4854.

The CLIA number assigned to this NPI record is 34D2182328 - pharmacy with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count (HCPCS:K1034)
• Administration of influenza virus vaccine (HCPCS:G0008)
• Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
• Fee covid-19 vac 14 res (HCPCS:0134A)
• Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage; second dose (HCPCS:0012A)
• Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)
• Fee covid-19 vac 13 res (HCPCS:0124A)
• Influenza vaccine, quadrivalent, 0.5 ml dosage (HCPCS:90688)

The enumeration date for this NPI number is 1/18/2007 and was last updated on 2/15/2011.

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:

Other Identifiers

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