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INDIAN TRAIL PHARMACY
NPI 1417292244
Pharmacy - Community/Retail Pharmacy in Indian Trail, NC

Active since December 05, 2012
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 5, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Indian Trail Pharmacy NPPES

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

INDIAN TRAIL PHARMACY (NPI 1417292244) is a healthcare organization registered as a community/retail pharmacy in Indian Trail, North Carolina and active in the NPI registry since December 2012. The organization lists Karen M Stine, Office Manager/treasurer, as its authorized official.

NPPES Registry Identity

NPI1417292244
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameINDIAN TRAIL PHARMACY, INC.
Location Address106 INDIAN TRAIL RD SIndian Trail, NC 28079-9669
Mailing Address106 Indian Trail Rd S, Po Box 86Indian Trail, NC 28079-9669 · (704) 821-7617 · Fax (704) 821-0177
Phone(704) 821-7617
Fax(704) 821-0177
Organization SubpartNo
Authorized OfficialKaren M StineOffice Manager/treasurer · (704) 821-7617
Enumeration DateDecember 5, 2012
✔ NPI 1417292244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in NC · 02670
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
106 INDIAN TRAIL RD S, Indian Trail, NC 28079
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Other Names 1

Doing Business AsIndian Trail Pharmacy

Other Identifiers 3

Medicaid0905117NC
Medicare NSC0651400001NC
Other3401128Nabp

Medical Equipment Supplier Medicare DMEPOS 5

Medicare supplier enrollment and the product categories Indian Trail Pharmacy carries, from the Medicare DMEPOS supplier directory.

Indian Trail Pharmacy

DMEPOS supplier · Indian Trail, NCOperated by Beam And Blizzard LLC
✔

Accepts Medicare assignment

Indian Trail Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20510441
Medicare Participant SinceDecember 6, 2013
Supplier Location106 Indian Trail Road SouthIndian Trail, NC 28079
Phone(704) 821-7617
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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.

BEAM AND BLIZZARD, LLC
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 Indian Trail Pharmacy, Inc.'s NPI number?

The NPI number for Indian Trail Pharmacy, Inc. is 1417292244. It was assigned to this organization in the NPPES registry on December 5, 2012. The provider is doing business as Indian Trail Pharmacy.

Where is Indian Trail Pharmacy, Inc. located?

Indian Trail Pharmacy, Inc. is located at 106 Indian Trail Rd S, Indian Trail, NC 28079. The listed phone number is (704) 821-7617.

What is Indian Trail Pharmacy, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Indian Trail Pharmacy, Inc. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Indian Trail Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Indian Trail Pharmacy, Inc. was last updated on December 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.