Halls Drug Store LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

10897 Issued in NC

Legal business name

HALLS DRUG STORE LLC

Practice address

100 W 3Rd St
Lexington, NC 27292-2362

Phone

(336) 249-0322

Fax

(336) 249-8572

NPI assigned

Nov 20, 2006

Organization subpart

No

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

Authorized official

Name

Satish Gunda

Title

Manager Opertaions

Phone

(732) 857-7227

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• YOUR PHARMACY OF LEXINGTON Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Tax ID family

Halls Drug Store LLC2 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.

• Halls Drug Store LLC

  • Long Term Care Pharmacy
  • Lexington, NC
  • NPI 1215813514
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Venkat Reddy Velmineti, PHARMACIST

  • Pharmacist
  • Wilson, NC
  • NPI 1912205097
  NPD

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469404800000",
    "number": "1164596318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W 3RD ST",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272922362",
            "telephone_number": "336-249-0322",
            "fax_number": "336-249-8572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W 3RD ST",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272922362",
            "telephone_number": "336-249-0322",
            "fax_number": "336-249-8572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALLS DRUG STORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2016-07-25",
        "status": "A",
        "authorized_official_last_name": "GUNDA",
        "authorized_official_first_name": "SATISH",
        "authorized_official_title_or_position": "MANAGER OPERTAIONS",
        "authorized_official_telephone_number": "732-857-7227"
    },
    "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": "10897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2128743",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0295921",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YOUR PHARMACY OF LEXINGTON",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• H.E.a.R.T Acupuncture and Chiropractic PLLC
• Jeffery M Halcomb, RPH
• Andrew Lee Hall, PHARMD
• Christine Sarah Hall, D.O.
• Katherine Fair Hall
• Halls Drug Store LLC
• Angela Veronica Hamilton-Rucker, LCMHC
• Lori Prevette Hamilton, MA, CCC-SLP
• Aaron Nicholas Hamm, DDS
• James Christopher Haney, LPN

• Community/Retail Pharmacy in Lexington, NC
• Providers in Lexington, 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 Jul 25, 2016; 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.