Organization Active NPI

RX Clinic Pharmacy, LLC

  • Clinic Pharmacy
  • Charlotte, NC
National Provider Identifier
1013576693
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
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

Updated by the provider on Jul 25, 2023

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)CodeLicenseStatePrimary
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 Doing business as
  • Rx Clinic Pharmacy, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.