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BANNER DRUG CO
NPI 1902357130
Pharmacy in Statesville, NC

Active since October 24, 2016
308A MOCKSVILLE HWY, STATESVILLE, NC 28625(704) 878-6681(704) 878-6684 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 28, 2023, Feb 27, 2017, Jan 18, 2017 and 1 more (4 updates tracked since 2016).

About Banner Drug Co NPPES

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

BANNER DRUG CO (NPI 1902357130) is a healthcare organization registered as a pharmacy in Statesville, North Carolina and active in the NPI registry since October 2016. The organization lists Melinda Childress, Owner, as its authorized official.

NPPES Registry Identity

NPI1902357130
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameEASTSIDE PHARMACY SERVICES LLC
Location Address308A MOCKSVILLE HWYStatesville, NC 28625-8267
Mailing Address308a Mocksville HwyStatesville, NC 28625-8267 · (704) 878-6681 · Fax (704) 878-6684
Phone(704) 878-6681
Fax(704) 878-6684
Organization SubpartNo
Authorized OfficialMelinda ChildressOwner · (704) 872-2604
Enumeration DateOctober 24, 2016
Last NPPES UpdateAugust 28, 20234 updates tracked since enumeration
NPPES CertifiedAugust 28, 2023
✔ NPI 1902357130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in NC · 13145
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.
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
308A MOCKSVILLE HWY, Statesville, NC 28625
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Other Names 1

Doing Business AsBanner Drug Co

Other Identifiers 1

Other2166909Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
64 services63 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
61 services61 patients

Other Providers at the Same Location NPPES 3

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

EASTSIDE PHARMACY SERVICES, LLC
Pharmacy (Long Term Care Pharmacy)
308A MOCKSVILLE HWY
STATESVILLE, NC 28625
Iredell County (704) 878-6681
EASTSIDE PHARMACY SERVICES LLC
Pharmacist
308A MOCKSVILLE HWY
STATESVILLE, NC 28625
Iredell County (704) 878-6681
1ST RX PHARMACY INC - GREENBRIAR
Pharmacy
308A MOCKSVILLE HWY
STATESVILLE, NC 28625
Iredell County (704) 878-6225

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 1902357130. It was assigned to this organization in the NPPES registry on October 24, 2016. The provider is doing business as Banner Drug Co.

Where is Eastside Pharmacy Services LLC located?

Eastside Pharmacy Services LLC is located at 308A Mocksville Hwy, Statesville, NC 28625. The listed phone number is (704) 878-6681.

What is Eastside Pharmacy Services LLC's specialty?

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

What insurance does Eastside Pharmacy Services LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 47 other insurers 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 August 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.