OrganizationActive
Eastside Pharmacy Services, LLC
NPI 1134719628 · Long Term Care Pharmacy · Statesville, NC
Eastside Pharmacy Services, LLC is a Long Term Care Pharmacy organization in Statesville, NC (NPI 1134719628).
Provider details
- NPI number
- 1134719628
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Melinda Childress, Owner(704) 878-6681
Specialties & taxonomies
Suppliers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
308a Mocksville Hwy
Statesville, NC 28625-8267
Phone: (704) 878-6681
Street-level locationGet directions
Mailing address
308a Mocksville Hwy
Statesville, NC 28625-8267
Other names (DBA / former)
- Doing business as
- Banner Drug Ltc
Registry dates
- Enumerated
- 2021-01-19
- Last updated
- 2022-08-22
- Certified
- 2022-08-22
Frequently asked questions
- What is Eastside Pharmacy Services, LLC's NPI number?
- Eastside Pharmacy Services, LLC's National Provider Identifier (NPI) is 1134719628, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eastside Pharmacy Services, LLC?
- Eastside Pharmacy Services, LLC is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is Eastside Pharmacy Services, LLC located?
- Eastside Pharmacy Services, LLC's practice location on file with NPPES is 308a Mocksville Hwy, Statesville, NC 28625-8267.
- What is Eastside Pharmacy Services, LLC's phone number?
- The practice phone number listed in the NPPES registry for Eastside Pharmacy Services, LLC is (704) 878-6681.
- Who is the authorized official for Eastside Pharmacy Services, LLC?
- The authorized official listed on Eastside Pharmacy Services, LLC's NPPES record is Melinda Childress, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eastside Pharmacy Services, LLC's NPI active?
- Yes — Eastside Pharmacy Services, LLC's NPI (1134719628) is active in the NPPES registry as of the last update on 2022-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.