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SENTRY DRUG CENTER 3 LLC DBA FAMILYMED PHARMACY NPI 1518362011


NPI Information

NPI: 1518362011
Provider Name: SENTRY DRUG CENTER 3, LLC DBA FAMILYMED PHARMACY

Doing Business As: FAMILYMED PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 34D2235103

Address:
110 E DALLAS RD
STANLEY, NC
ZIP 28164
Phone: (704) 263-0810
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SENTRY DRUG CENTER 3, LLC DBA FAMILYMED PHARMACY is a community/retail pharmacy pharmacy in Stanley, NC. The provider is 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. SENTRY DRUG CENTER 3, LLC DBA FAMILYMED PHARMACY NPI is 1518362011. The provider is registered as an organization entity type.
The provider Is Doing Business As Familymed Pharmacy.

The provider's business location address is:

110 E DALLAS RD
STANLEY, NC
ZIP 28164-051
Phone: (704) 263-0810
Fax: (704) 263-1222

The provider's authorized official is Todd Pigg .
The authorized official title is Rph - Owner and has the following contact phone number (704) 735-2551.

The CLIA number assigned to this NPI record is 34D2235103 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/27/2014 and was last updated on 1/9/2017.


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 SuppliesNORTH CAROLINANo
2333600000XPharmacy06038NORTH CAROLINANo
33336C0003XPharmacyCommunity/Retail Pharmacy06038NORTH CAROLINAYes
43336C0004XPharmacyCompounding PharmacyNORTH CAROLINANo
53336S0011XPharmacySpecialty PharmacyNORTH CAROLINANo

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
10365973MEDICAIDNORTH CAROLINA
27566340001MEDICARE 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: 5/5/2024

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