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INDIAN TRAIL PHARMACY
NPI 1407252745
Pharmacy in Indian Trail, NC

Active since November 14, 2014
106 INDIAN TRAIL RD S, INDIAN TRAIL, NC 28079(704) 821-7617(704) 821-0177 Get Directions Write a Review

NPPES record last updated: December 1, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Indian Trail Pharmacy NPPES

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

INDIAN TRAIL PHARMACY (NPI 1407252745) is a healthcare organization registered as a pharmacy in Indian Trail, North Carolina and active in the NPI registry since November 2014. The organization lists Terry A Devine, Pharmacy Manager, as its authorized official.

NPPES Registry Identity

NPI1407252745
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameBEAM AND BLIZZARD, LLC
Location Address106 INDIAN TRAIL RD SIndian Trail, NC 28079-9669
Mailing Address106 Indian Trail Rd SIndian Trail, NC 28079-9669 · (704) 821-7617 · Fax (704) 821-0177
Phone(704) 821-7617
Fax(704) 821-0177
Organization SubpartNo
Authorized OfficialTerry A DevinePharmacy Manager · (704) 821-7617
Enumeration DateNovember 14, 2014
Last NPPES UpdateDecember 1, 2014
✔ NPI 1407252745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in NC · 11558
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
106 INDIAN TRAIL RD S, Indian Trail, NC 28079
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Other Names 1

Doing Business AsIndian Trail Pharmacy

Other Identifiers 2

Medicaid0905117NC
Other6973150001NC · Medicare Ptan

Other Providers at the Same Location NPPES 5

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

INDIAN TRAIL PHARMACY, INC.
Pharmacy (Community/Retail Pharmacy)
106 INDIAN TRAIL RD S
INDIAN TRAIL, NC 28079
Union County (704) 821-7617
DR. TERRY ALVIN DEVINE JR. PHARMD.
Pharmacist
106 INDIAN TRAIL RD S
INDIAN TRAIL, NC 28079
Union County (704) 821-7617
MRS. AMANDA MORRIS MORROW RPH
Pharmacist
106 INDIAN TRAIL RD S
INDIAN TRAIL, NC 28079
Union County (704) 821-7617
MRS. JENNIFER S SIMPSON RPH
Pharmacist
106 INDIAN TRAIL RD S
INDIAN TRAIL, NC 28079
Union County (704) 821-7617
BEAM AND BLIZZARD LLC
Pharmacy (Community/Retail Pharmacy)
106 INDIAN TRAIL RD S
INDIAN TRAIL, NC 28079
Union County (704) 821-7617

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 Beam And Blizzard, LLC's NPI number?

The NPI number for Beam And Blizzard, LLC is 1407252745. It was assigned to this organization in the NPPES registry on November 14, 2014. The provider is doing business as Indian Trail Pharmacy.

Where is Beam And Blizzard, LLC located?

Beam And Blizzard, LLC is located at 106 Indian Trail Rd S, Indian Trail, NC 28079. The listed phone number is (704) 821-7617.

What is Beam And Blizzard, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Beam And Blizzard, LLC was last updated on December 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.