Organization Active NPI

Falls River Pharmacy LLC

  • Community/Retail Pharmacy
  • Raleigh, NC
National Provider Identifier
1164677852
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
9162 Issued in NC
Legal business name
FALLS RIVER PHARMACY LLC
Practice address
10930 Raven Ridge Rd
Suite 109
Raleigh, NC 27614-6593
Phone
(919) 844-2055
NPI assigned
Nov 21, 2008
Last updated
Nov 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

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

Authorized official

Name
Romas T White III, RPHNPI 1699715284
Title
Member
Phone
(919) 835-0457

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 9162 NC Primary

Addresses

Primary practice location

10930 Raven Ridge Rd
Suite 109
Raleigh, NC 27614-6593

Mailing address

10930 Raven Ridge Rd
Suite 109
Raleigh, NC 27614-6593
Phone (919) 844-2055

Other identifiers 1

IdentifierTypeStateIssuer
2800014OtherNCMEDICARE GROUP/ORGANIZATION PTAN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1164677852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10930 RAVEN RIDGE RD",
            "address_2": "SUITE 109",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276146593",
            "telephone_number": "919-844-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10930 RAVEN RIDGE RD",
            "address_2": "SUITE 109",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276146593",
            "telephone_number": "919-844-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALLS RIVER PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-21",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "ROMAS",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "919-835-0457",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "9162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP/ORGANIZATION PTAN",
            "identifier": "2800014",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; 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.