Healthcare Provider Details

I. General information

NPI: 1629123807
Provider Name (Legal Business Name): THOMAS DRUGS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 09/22/2023
Certification Date: 09/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10227 BEACH DRIVE
CALABASH NC
28467
US

IV. Provider business mailing address

10227 BEACH DR SW
CALABASH NC
28467
US

V. Phone/Fax

Practice location:
  • Phone: 910-620-2317
  • Fax: 910-579-5381
Mailing address:
  • Phone: 910-579-3200
  • Fax: 833-678-0207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number09451
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number09451
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number09451
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier09451
Identifier TypeOTHER
Identifier StateNC
Identifier IssuerPHARMACY PERMIT
# 2
Identifier0105122
Identifier TypeMEDICAID
Identifier StateNC
Identifier Issuer

VIII. Authorized Official

Name: DR. EDWARD RAGLAND THOMAS IV
Title or Position: PRESIDENT
Credential: PHARM D
Phone: 910-579-3200