OrganizationActive
Mayberry Pharmacy
NPI 1891804084 · Community/Retail Pharmacy · Mount Airy, NC
Mayberry Pharmacy is a Community/Retail Pharmacy organization in Mount Airy, NC (NPI 1891804084).
Provider details
- NPI number
- 1891804084
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Wallace Johnson, Owner(336) 789-0424
- License
- 08125 (NC)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
933 Old Rockford St
Suite 3
Mount Airy, NC 27030-5356
Phone: (336) 789-0424
Fax: (336) 789-0157
Street-level locationGet directions
Mailing address
933 Old Rockford St
Mount Airy, NC 27030-5356
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2020-08-22
Frequently asked questions
- What is Mayberry Pharmacy's NPI number?
- Mayberry Pharmacy's National Provider Identifier (NPI) is 1891804084, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mayberry Pharmacy?
- Mayberry Pharmacy is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Mayberry Pharmacy located?
- Mayberry Pharmacy's practice location on file with NPPES is 933 Old Rockford St, Mount Airy, NC 27030-5356.
- What is Mayberry Pharmacy's phone number?
- The practice phone number listed in the NPPES registry for Mayberry Pharmacy is (336) 789-0424.
- Who is the authorized official for Mayberry Pharmacy?
- The authorized official listed on Mayberry Pharmacy's NPPES record is Wallace Johnson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mayberry Pharmacy's NPI active?
- Yes — Mayberry Pharmacy's NPI (1891804084) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.