Provider Demographics
NPI:1366514150
Name:DRUGCARE PHARMACY
Entity type:Organization
Organization Name:DRUGCARE PHARMACY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:ADKINS
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:252-445-3639
Mailing Address - Street 1:132 WHITFIELD ST
Mailing Address - Street 2:
Mailing Address - City:ENFIELD
Mailing Address - State:NC
Mailing Address - Zip Code:27823-1340
Mailing Address - Country:US
Mailing Address - Phone:252-445-3639
Mailing Address - Fax:252-445-4449
Practice Address - Street 1:132 WHITFIELD ST
Practice Address - Street 2:
Practice Address - City:ENFIELD
Practice Address - State:NC
Practice Address - Zip Code:27823-1340
Practice Address - Country:US
Practice Address - Phone:252-445-3639
Practice Address - Fax:252-445-4449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3423833OtherNCPDP PROVIDER IDENTIFICATION NUMBER
NC7701135Medicaid
NC0425421Medicaid
3423833OtherNCPDP PROVIDER IDENTIFICATION NUMBER