Siler City Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

8420 Issued in NC

Legal business name

SILER CITY PHARMACY, LLC

Practice address

202A E Raleigh St
Siler City, NC 27344

Phone

(919) 663-5541

Fax

(919) 663-5577

NPI assigned

May 28, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Angelynn N Fox, PHARMD

Title

Member-Manager

Phone

(919) 663-5541

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Siler City Pharmacy LLC

  • Community/Retail Pharmacy
  • Siler City, NC
  • NPI 1518112200

  O20100930016854

  Same enrollment

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Hardy-White Pharmacies, Inc.

  • Community/Retail Pharmacy
  • Lincolnton, NC
  • NPI 1942257662

  Member Of

  NPD member

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528156800000",
    "number": "1003863689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202A E RALEIGH ST",
            "city": "SILER CITY",
            "state": "NC",
            "postal_code": "273443416",
            "telephone_number": "919-663-5541",
            "fax_number": "919-663-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202A E RALEIGH ST",
            "city": "SILER CITY",
            "state": "NC",
            "postal_code": "27344",
            "telephone_number": "919-663-5541",
            "fax_number": "919-663-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILER CITY PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2018-06-05",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "ANGELYNN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MEMBER-MANAGER",
        "authorized_official_telephone_number": "919-663-5541",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "8420",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "8420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0195265",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704510",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "3441538",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Logan Brooks Sescilla, PA-C
• Shishir Hasmukhlal Shah, MD
• Elizabeth W. Sherouse, COTA/L
• Siler City Opco, LLC
• Siler City Pharmacy LLC
• Siler City Pharmacy, LLC
• Siler City Wellness Solutions, LLC
• Siler Crossing Vision Center Optometry PA
• Sister 2 Sister Solution Inc
• Sister 2 Sister Solution Inc

• Community/Retail Pharmacy in Siler City, NC
• Providers in Siler City, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.