Active NPI
RX Clinic Pharmacy, LLC
- Clinic Pharmacy
- Charlotte, NC
National Provider Identifier
1013576693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic Pharmacy
- Legal business name
- RX CLINIC PHARMACY, LLC
- Doing business as
- Avant Pharmacy and Wellness
- Practice address
- 10508 Park Rd Ste 130
Charlotte, NC 28210-8526 - Phone
- (704) 519-2800
- Fax
- (704) 519-2801
- NPI assigned
- Jun 7, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Amina Abubakar, PHARMD
- Title
- Ceo
- Phone
- (215) 840-5510
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic Pharmacy | 3336C0002X | Primary |
Addresses
Primary practice location
10508 Park Rd Ste 130
Charlotte, NC 28210-8526
Mailing address
10508 Park Rd Ste 130
Charlotte, NC 28210-8526
Phone (704) 519-2800
Other names 2
- Avant Pharmacy and Wellness
- Rx Clinic Pharmacy, LLC
National Provider Directory
National Provider DirectoryLocations
10508 Park Rd
Ste 130
Charlotte, NC 28210
Phone (704) 208-4134
2300 Randolph Rd
Unit A2
Charlotte, NC 28207
Phone (704) 519-2800
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Charlotte, NC
- NPI 1679698146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559865600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690243200000",
"number": "1013576693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10508 PARK RD STE 130",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282108526",
"telephone_number": "704-519-2800",
"fax_number": "704-519-2801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10508 PARK RD STE 130",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282108526",
"telephone_number": "704-519-2800",
"fax_number": "704-519-2801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RX CLINIC PHARMACY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-07",
"last_updated": "2023-07-25",
"certification_date": "2023-07-25",
"status": "A",
"authorized_official_last_name": "ABUBAKAR",
"authorized_official_first_name": "AMINA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "215-840-5510",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Avant Pharmacy and Wellness",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Rx Clinic Pharmacy, LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.