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DAMERON DRUG STORE, INC
NPI 1962704635
Pharmacy - Clinic Pharmacy in Tabor City, NC

Active since December 01, 2010
100 S MAIN ST, TABOR CITY, NC 28463(910) 653-3089(910) 653-5839 Get Directions Write a Review

NPPES record last updated: December 1, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dameron Drug Store, Inc NPPES

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

DAMERON DRUG STORE, INC (NPI 1962704635) is a healthcare organization registered as a clinic pharmacy in Tabor City, North Carolina and active in the NPI registry since December 2010. The organization lists Kelly Fowler Lovett, Pharmicist, as its authorized official.

NPPES Registry Identity

NPI1962704635
Entity TypeOrganization
Primary Taxonomy3336C0002X
Legal Business NameDAMERON DRUG STORE, INC
Location Address100 S MAIN STTabor City, NC 28463-1910
Mailing Address100 S Main StTabor City, NC 28463-1910 · (910) 653-3089 · Fax (910) 653-5839
Phone(910) 653-3089
Fax(910) 653-5839
Organization SubpartNo
Authorized OfficialKelly Fowler LovettPharmicist · (910) 653-3089
Enumeration DateDecember 1, 2010
✔ NPI 1962704635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Clinic PharmacySuppliers
Taxonomy Code3336C0002X
License✔ Licensed in NC · 00917
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
100 S MAIN ST, Tabor City, NC 28463
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Other Identifiers 4

Medicaid0245100NC
Medicare NSC0135170001
Other3411511Ncpdp Provider Identification Number
Medicaid7N0917SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

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.

DR. KELLY FOWLER LOVETT PHARMD
Pharmacist
100 S MAIN ST
TABOR CITY, NC 28463
Columbus County (910) 653-3089
DR. MORGAN ELIZABETH DAMERON PHARMD
Pharmacist
100 S MAIN ST
TABOR CITY, NC 28463
Columbus County (910) 653-3089
DAMERON DRUG STORE INC
Pharmacy (Community/Retail Pharmacy)
100 S MAIN ST
TABOR CITY, NC 28463
Columbus County (910) 653-3089

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 Dameron Drug Store, Inc's NPI number?

The NPI number for Dameron Drug Store, Inc is 1962704635. It was assigned to this organization in the NPPES registry on December 1, 2010.

Where is Dameron Drug Store, Inc located?

Dameron Drug Store, Inc is located at 100 S Main St, Tabor City, NC 28463. The listed phone number is (910) 653-3089.

What is Dameron Drug Store, Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

What insurance does Dameron Drug Store, Inc accept?

Health plans from Blue Cross and Blue Shield of NC list Dameron Drug Store, 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 Dameron Drug Store, Inc was last updated on December 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.