Mint Hill Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MINT HILL PHARMACY LLC

Doing business as

Mint Hill Pharmacy

Practice address

7200 Matthews Mint Hill Rd
Mint Hill, NC 28227-7593

Phone

(704) 910-2718

Fax

(704) 910-6441

NPI assigned

Dec 18, 2016

Last updated

Oct 21, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James M Bowman, PHARMDNPI 1457332728

Title

Owner

Phone

(704) 910-2718

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Mint Hill Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NC3 enrollments

Enrollment records 3

Tax ID family

Mint Hill Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mint Hill Pharmacy LLC

  • Pharmacy
  • Mint Hill, NC
  • NPI 1144731431
  NPD tax ID

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James M Bowman, PHARMD

  • Pharmacist
  • Mint Hill, NC
  • NPI 1457332728
  NPD Authorized official
• Phillip L Thornton, R.PH, PH.D.

  • Pharmacotherapy Pharmacist
  • Mint Hill, NC
  • NPI 1538166426
  NPD
• Kristy Stevens

  • Pharmacist
  • Mint Hill, NC
  • NPI 1730030669
  NPD (past)

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

{
    "created_epoch": "1482019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1053855510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 MATTHEWS MINT HILL RD",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282277593",
            "telephone_number": "704-910-2718",
            "fax_number": "704-910-6441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 MATTHEWS MINT HILL RD",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282277593",
            "telephone_number": "704-910-2718",
            "fax_number": "704-910-6441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINT HILL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-18",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-910-2718",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053855510",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166741",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mint Hill Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mint Hill Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abby Miller, LCMHCA
• Joseph Minaya
• Mint Hill Dentistry, LLP
• Mint Hill Health Holdings, LLC (Mint Hill Senior Living)
• Mint Hill Pediatric Therapy
• Mint Hill Pharmacy LLC
• Mint Hill Primary Care PLLC
• Mint Hill Smiles
• Mint Hill Volunteer Fire Department (Mint Hill Vol. Fire Dept.)
• Sophia Raquel Miranda, EDD

• Community/Retail Pharmacy in Mint Hill, NC
• Providers in Mint Hill, 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 Oct 21, 2021; 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.