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EDEN DRUG, INC.
NPI 1053947366
Pharmacy - Long Term Care Pharmacy in Eden, NC

Active since March 18, 2020CLIA 34D2182328 · Waiver
103 W STADIUM DR, EDEN, NC 27288(336) 627-4854 Get Directions Write a Review

NPPES record last updated: April 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 15, 2020, Mar 18, 2020 (2 updates tracked since 2020).

About Eden Drug, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDEN DRUG, INC. (NPI 1053947366) is a healthcare organization registered as a long term care pharmacy in Eden, North Carolina and active in the NPI registry since March 2020. The organization holds a CLIA Waiver certificate valid through April 19, 2028 and lists Robert Crouch, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1053947366
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameEDEN DRUG, INC.
Location Address103 W STADIUM DREden, NC 27288-3329
Mailing Address103 W Stadium DrEden, NC 27288-3329 · (336) 627-4854
Phone(336) 627-4854
Organization SubpartNo
Authorized OfficialRobert CrouchPharmacist · (336) 627-4854
Enumeration DateMarch 18, 2020
Last NPPES UpdateApril 15, 20202 updates tracked since enumeration
NPPES CertifiedApril 15, 2020
✔ NPI 1053947366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
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.
103 W STADIUM DR, Eden, NC 27288
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Other Identifiers 1

Medicaid0795443NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2182328

Eden Drug, Inc · Eden, NC
Active · expires Apr 19, 2028
CLIA Number34D2182328
Laboratory TypePharmacy
Certificate Effective DateApril 20, 2026
Certificate Expiration DateApril 19, 2028
Laboratory DirectorMr. Robert L. Crouch
Laboratory Phone(336) 627-4854
Laboratory LocationEden Drug, Inc103 W Stadium Dr, Eden, NC 27288
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SARAH HADDEN BRIDGES MBA, PHARMD
Pharmacist
103 W STADIUM DR
EDEN, NC 27288
Rockingham County (336) 627-4854
STEPHANIE HODGES BARNES CFTS
Orthotic Fitter
103 W STADIUM DR
EDEN, NC 27288
Rockingham County (336) 627-4854
EDEN DRUG INC
Durable Medical Equipment & Medical Supplies
103 W STADIUM DR
EDEN, NC 27288
Rockingham County (336) 627-4854
MRS. CASSIE MARIE SCOTT CPHT
Pharmacy Technician
103 W STADIUM DR
EDEN, NC 27288
Rockingham County (336) 627-4854
EDEN DRUG, INC.
Pharmacy (Community/Retail Pharmacy)
103 W STADIUM DR
EDEN, NC 27288
Rockingham County (336) 627-4854
CHAD YORK PHARM D
Pharmacist
103 W STADIUM DR
EDEN, NC 27288
Rockingham County (336) 627-4854
MR. ROBERT L CROUCH RPH, CPP, CFTS
Orthotic Fitter
103 W STADIUM DR
EDEN, NC 27288
Rockingham County (336) 627-4854
DR. AMANDA CROUCH PHARMD
Pharmacist
103 W STADIUM DR
EDEN, NC 27288
Rockingham County (336) 627-4854

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eden Drug, Inc.'s NPI number?

The NPI number for Eden Drug, Inc. is 1053947366. It was assigned to this organization in the NPPES registry on March 18, 2020.

Where is Eden Drug, Inc. located?

Eden Drug, Inc. is located at 103 W Stadium Dr, Eden, NC 27288. The listed phone number is (336) 627-4854.

What is Eden Drug, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Eden Drug, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2182328) is associated with this NPI, valid through April 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Eden Drug, Inc. accept?

Health plans from Moda Health Plan, Inc. list Eden Drug, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eden Drug, Inc. was last updated on April 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.