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EASTSIDE PHARMACY SERVICES, LLC
NPI 1629630348
Pharmacy - Community/Retail Pharmacy in Troutman, NC

Active since July 02, 2019
106 WAGNER ST, TROUTMAN, NC 28166(704) 528-6611 Get Directions Write a Review

NPPES record last updated: July 2, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eastside Pharmacy Services, Llc NPPES

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

EASTSIDE PHARMACY SERVICES, LLC (NPI 1629630348), doing business as Banner Drug Of Troutman, is a healthcare organization registered as a community/retail pharmacy in Troutman, North Carolina and active in the NPI registry since July 2019. The organization lists Melinda C Childress, Owner, as its authorized official.

NPPES Registry Identity

NPI1629630348
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameEASTSIDE PHARMACY SERVICES, LLC
Location Address106 WAGNER STTroutman, NC 28166-9627
Mailing Address3478 E Broad StStatesville, NC 28625-4523
Phone(704) 528-6611
Organization SubpartNo
Authorized OfficialMelinda C ChildressOwner · (704) 878-6681
Enumeration DateJuly 2, 2019
✔ NPI 1629630348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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 WAGNER ST, Troutman, NC 28166
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Other Names 1

Doing Business AsBanner Drug Of Troutman

Accepted Insurance

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

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 Eastside Pharmacy Services, LLC's NPI number?

The NPI number for Eastside Pharmacy Services, LLC is 1629630348. It was assigned to this organization in the NPPES registry on July 2, 2019. The provider is doing business as Banner Drug of Troutman.

Where is Eastside Pharmacy Services, LLC located?

Eastside Pharmacy Services, LLC is located at 106 Wagner St, Troutman, NC 28166. The listed phone number is (704) 528-6611.

What is Eastside Pharmacy Services, LLC's specialty?

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

What insurance does Eastside Pharmacy Services, LLC accept?

Health plans from Medica and Moda Health Plan, Inc. list Eastside Pharmacy Services, LLC 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 Eastside Pharmacy Services, LLC was last updated on July 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.