Harrisburg Pharmacy Services Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

09529 Issued in NC

Legal business name

HARRISBURG PHARMACY SERVICES INC

Practice address

4310 Physicians Blvd
Harrisburg, NC 28075

Phone

(704) 455-5355

Fax

(704) 455-3323

NPI assigned

Apr 27, 2007

Organization subpart

No

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

Authorized official

Name

Charles Leroy Hill, R.PH.

Title

Owner

Phone

(704) 455-5355

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Medicap Pharmacy Doing business as

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1124248331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 PHYSICIANS BLVD",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "28075",
            "telephone_number": "704-455-5355",
            "fax_number": "704-455-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 PHYSICIANS BLVD",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "28075",
            "telephone_number": "704-455-5355",
            "fax_number": "704-455-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISBURG PHARMACY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "LEROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-455-5355",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "09529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0136018",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP #",
            "identifier": "3408463",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704698",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicap Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Harris Teeter LLC
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• Flora Harris
• Harrisburg Chiropractic Clinic, Inc.
• Harrisburg Family Physicians
• Harrisburgs Hometown Pharmacy Inc
• Gracyn Lea Haskins
• Laverne Ida Hatcher, LCSW-A
• Redella B Hedrick, FNP
• Carolyn Grace Henley, LMT

• Community/Retail Pharmacy in Harrisburg, NC
• Providers in Harrisburg, 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 Mar 7, 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.