=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437443116
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DDP PHARMACY INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/31/2011
-----------------------------------------------------
Last Update Date | 09/19/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 107 SMITH CHURCH RD
-----------------------------------------------------
City | ROANOKE RAPIDS
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27870-4911
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 252-537-7010
-----------------------------------------------------
Fax | 252-537-7010
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 107 SMITH CHURCH RD SUITE A
-----------------------------------------------------
City | ROANOKE RAPIDS
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27870-4911
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 252-537-7010
-----------------------------------------------------
Fax | 252-537-7010
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHARMACY MANAGER
-----------------------------------------------------
Name | ANDREW HUGGINS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 252-537-7010
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 3336S0011X
-----------------------------------------------------
Taxonomy Name | Specialty Pharmacy
-----------------------------------------------------
License Number | 11032
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------