MAST DRUG CO INC NPI 1144396789

NPI Information

NPI: 1144396789
Provider Name: MAST DRUG CO INC

Doing Business As: MAST LONG TERM CARE WILLIAMSTON

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
415 EAST BLVD
WILLIAMSTON, NC
ZIP 27892
Phone: (252) 792-8216
Get Directions

MAST DRUG CO INC is a long term care pharmacy pharmacy in Williamston, NC. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. MAST DRUG CO INC NPI is 1144396789. The provider is registered as an organization entity type.
The provider Is Doing Business As Mast Long Term Care Williamston.

The provider's business location address is:

415 EAST BLVD
WILLIAMSTON, NC
ZIP 27892-731
Phone: (252) 792-8216
Fax: (252) 792-7330

The provider's authorized official is Polly Beal .
The authorized official title is Admin Mgr and has the following contact phone number (252) 438-3112.

The enumeration date for this NPI number is 11/27/2006 and was last updated on 8/22/2020.

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
1	3336L0003X	Pharmacy	Long Term Care Pharmacy	5603	NORTH CAROLINA	Yes

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
1	3430307	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER
2	0585158	MEDICAID	NORTH CAROLINA
3	7701334	MEDICAID	NORTH CAROLINA
4	8507376	MEDICAID	VIRGINIA
5	9800034	MEDICAID	MARYLAND

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

NPI Synchronization or Removal

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