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Export Provider Record NPI 1104551654
Mast Drug Co Inc
Organization Subpart: YES
Active
NPI Number1104551654
NPI TypeNPI-2 Organization
SpecialtyPharmacy, Long Term Care Pharmacy
Provider Details
NPI1104551654
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2022-07-19
Last Updated2023-03-16
Authorized OfficialRichard Flye
PRESIDENT
Phone: 2524383112
Mailing Address805 S Garnett St
Henderson, NC 27536
United States
Phone: (252) 438-3112 | Fax: (252) 492-4096
📍 View Map
Primary Practice Address103 E 24th St
Lumberton, NC 28358-3651
United States
Phone: (910) 739-4196 | Fax: (888) 498-1665
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes3336L0003X – Pharmacy, Long Term Care Pharmacy--
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About NPI 1104551654

Mast Drug Co Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1104551654. The primary specialty listed is Pharmacy, Long Term Care Pharmacy. The organization is located in Lumberton, NC. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2022-07-19. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1104551654?

NPI 1104551654 belongs to Mast Drug Co Inc, a Pharmacy, Long Term Care Pharmacy in Lumberton, NC. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1104551654 active?

The current status of NPI 1104551654 in the NPPES registry is Active. The record was last updated on 2023-03-16.

What specialty is NPI 1104551654?

NPI 1104551654 is classified under the taxonomy Pharmacy, Long Term Care Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1104551654?

You can verify NPI 1104551654 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1104551654?

The primary practice address on file for NPI 1104551654 is 103 E 24th St, Lumberton, NC 28358-3651. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1104551654 issued?

NPI 1104551654 was first issued (enumerated) on 2022-07-19. The NPPES record was last updated on 2023-03-16.

Practice Location Map

Mast Drug Co Inc is located at 103 E 24th St, Lumberton, NC. Use the map below to find directions or verify the practice location.

📍 103 E 24th St, Lumberton, NC 28358-3651  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Mast Drug Co Inc. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-08-09 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162