Provider Demographics
NPI:1861505653
Name:HUDSON DISCOUNT DRUGS, INC.
Entity Type:Organization
Organization Name:HUDSON DISCOUNT DRUGS, INC.
Other - Org Name:HEALTH OPTIONS VITAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:J
Authorized Official - Middle Name:
Authorized Official - Last Name:REECE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-728-3561
Mailing Address - Street 1:PO BOX 5047
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:MS
Mailing Address - Zip Code:39302-5047
Mailing Address - Country:US
Mailing Address - Phone:800-447-4095
Mailing Address - Fax:
Practice Address - Street 1:510 CENTRAL ST
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:NC
Practice Address - Zip Code:28638-2401
Practice Address - Country:US
Practice Address - Phone:828-728-3561
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC05657332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC046J2OtherBCBS, PAR
NC046KVOtherBCBS HIT
NC6800476Medicaid
NC7701322Medicaid
NC046J2OtherBCBS, PAR
NC2338572Medicare ID - Type UnspecifiedLOCAL PART B
NC6800476Medicaid