Servant Pharmacy of Raleigh LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

10294 Issued in NC

Legal business name

SERVANT PHARMACY OF RALEIGH LLC

Doing business as

Servant Pharmacy of Raleigh, LLC

Practice address

700 Pony Rd Ste a
Zebulon, NC 27597-2656

Phone

(919) 827-0528

Fax

(678) 303-1686

NPI assigned

May 7, 2009

Organization subpart

No

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

Authorized official

Name

Cathy Kroll

Title

Office Manager

Phone

(678) 303-1680

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Servant Pharmacy of Raleigh, LLC Doing business as

Locations

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450742400000",
    "number": "1063646933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 CUMBERLAND PKWY SE",
            "address_2": "SUITE 3694",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303396136",
            "telephone_number": "678-303-1680",
            "fax_number": "678-303-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 PONY RD STE A",
            "city": "ZEBULON",
            "state": "NC",
            "postal_code": "275972656",
            "telephone_number": "919-827-0528",
            "fax_number": "678-303-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVANT PHARMACY OF RALEIGH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-07",
        "last_updated": "2015-12-22",
        "status": "A",
        "authorized_official_last_name": "KROLL",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "678-303-1680"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NC",
            "license": "10294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2120320",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Servant Pharmacy of Raleigh, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Zebulon, NC
• Providers in Zebulon, NC by specialty
• Long Term Care Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; 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.