MT AIRY DRUG INC NPI 1225138118

NPI Information

  • NPI: 1225138118
  • Provider Name: MT AIRY DRUG INC
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Address: 701 WEST PINE ST
    SUITE 500
    MT AIRY, NC
    ZIP 27030
  • Phone: (336) 786-5506

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NPI Details

MT AIRY DRUG INC is a pharmacy in Mt Airy, NC. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. MT AIRY DRUG INC NPI is 1225138118. The provider is registered as an organization entity type.

The provider's business location address is:

701 WEST PINE ST
SUITE 500
MT AIRY, NC
ZIP 27030
Phone: (336) 786-5506
Fax: (336) 786-6867

The provider's authorized official is Travis Scott Hall .
The authorized official title is President Pharmacist and has the following contact phone number (336) 786-5506.

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.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)

The enumeration date for this NPI number is 9/22/2006 and was last updated on 3/6/2013.

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
1333600000XPharmacy08106NORTH 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
10865627MEDICAIDNORTH CAROLINA
24571250001MEDICARE ID-TYPE UNSPECIFIED

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: 3/30/2025

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