Health Innovations Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

07705 Issued in NC

Legal business name

HEALTH INNOVATIONS PHARMACY INC

Practice address

295 Pinehurst Ave BLDG 2
Southern Pines, NC 28387-7023

Phone

(910) 246-5155

Fax

(910) 246-5157

NPI assigned

Feb 2, 2007

Organization subpart

No

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

Authorized official

Name

Timothy Hall Clark, RPH

Title

Ceo

Phone

(910) 246-5155

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• HEALTH INNOVATIONS PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NC2 enrollments

Enrollment records 2

Tax ID family

Health Innovations of Sanford Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Health Innovations of Sanford, Inc.

  • Community/Retail Pharmacy
  • Southern Pines, NC
  • NPI 1346798824
  NPD tax ID
• Health Innovations Pharmacy, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Southern Pines, NC
  • NPI 1205288479
  NPD tax ID

Locations

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Health Innovations of Sanford, Inc.

  • Community/Retail Pharmacy
  • Southern Pines, NC
  • NPI 1346798824
  NPPES parent name
• Health Innovations Pharmacy, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Southern Pines, NC
  • NPI 1205288479
  NPPES parent name

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546387200000",
    "number": "1073651063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 PINEHURST AVE BLDG 2",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283877023",
            "telephone_number": "910-246-5155",
            "fax_number": "910-246-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 PINEHURST AVE BLDG 2",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283877023",
            "telephone_number": "910-246-5155",
            "fax_number": "910-246-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH INNOVATIONS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2019-01-02",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "HALL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-246-5155",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "07705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0635540",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2068810",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTH INNOVATIONS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HEALTH INNOVATIONS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Haymount Institute for Psychological Services P
• Jessica Leigh Haywood, FNP
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• Health Innovations of Sanford, Inc.
• Health Innovations Pharmacy, Inc.
• Kaylie Alexandra Hebert, LMBT
• Kimberly Gray Hedge, LCSW
• Chasity Hedgpeth
• Caitlyn Marie Heidinger

• Community/Retail Pharmacy in Southern Pines, NC
• Providers in Southern Pines, 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 Jan 2, 2019; 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.