Eastside Pharmacy Services LLC
NPI 1902357130 · Pharmacy · Statesville, NC
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Eastside Pharmacy Services LLC is a Pharmacy organization in Statesville, NC (NPI 1902357130).
Provider details
- NPI number
- 1902357130
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Melinda Childress, Owner(704) 872-2604
Specialties & taxonomies
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
9 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
83 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Administration of Influenza Virus VaccineG0008 | 64 | $30 |
| Admn Sarscov2 Vacc 1 Dose90480 | 19 | $41 |
Typical Medicare-allowed amounts for these services range $30–$41 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Banner Drug Co
- Doing business as
- Banner Drug Co
Registry dates
- Enumerated
- 2016-10-24
- Last updated
- 2023-08-28
- Certified
- 2023-08-28
Frequently asked questions
- What is Eastside Pharmacy Services LLC's NPI number?
- Eastside Pharmacy Services LLC's National Provider Identifier (NPI) is 1902357130, 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 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.
- Does Eastside Pharmacy Services LLC accept Medicare?
- Eastside Pharmacy Services LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- 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 (1902357130) is active in the NPPES registry as of the last update on 2023-08-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.