Provider Demographics
NPI:1316230287
Name:D & J DRUGS INC
Entity Type:Organization
Organization Name:D & J DRUGS INC
Other - Org Name:MARMAC PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARM D
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:BYRD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-734-0888
Mailing Address - Street 1:110 FIVE POINTS RD
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27530-0916
Mailing Address - Country:US
Mailing Address - Phone:919-734-0888
Mailing Address - Fax:919-734-0899
Practice Address - Street 1:110 FIVE POINTS RD
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27530-0916
Practice Address - Country:US
Practice Address - Phone:919-734-0888
Practice Address - Fax:919-734-0899
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:D & J DRUGS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-05-25
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC332B00000X
NC11036332BC3200X, 333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5D6K11A00OtherHIN
2141353OtherPK
NC11036OtherLISC
NCQ454590001OtherMEDICARE PTAN
NC3458925OtherNABP
NC11036OtherLISC