Organization Active NPI

Pharmacy Acquisition Company LLC

  • Community/Retail Pharmacy
  • Monroe, NC
National Provider Identifier
1174888689
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
11310 Issued in NC
Legal business name
PHARMACY ACQUISITION COMPANY LLC
Doing business as
Monroe Family Pharmacy
Practice address
110 E Sunset Dr
Monroe, NC 28112-6057
Phone
(704) 776-9760
Fax
(704) 776-9759
NPI assigned
Jul 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Authorized official

Name
Russell Patterson
Title
Owner
Phone
(336) 817-6794

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 11310 NC Primary

Addresses

Primary practice location

110 E Sunset Dr
Monroe, NC 28112-6057

Mailing address

1107 W Market Center Dr
High Point, NC 27260-1642
Phone (336) 200-8200

Other identifiers 2

IdentifierTypeStateIssuer
1174888689MedicaidNC
2136126OtherPK

Other names 1

  • Monroe Family Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150729008117 NC Part B Supplier - Mass Immunization (Roster Biller Only) 4688988066 Practice locations: Monroe, NC

National Provider Directory

National Provider Directory

Locations

108 E Sunset Dr
Monroe, NC 28112
Phone (704) 776-9760

110 E Sunset Dr
Monroe, NC 28112
Phone (704) 776-9760

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781740800000",
    "number": "1174888689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 W MARKET CENTER DR",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272601642",
            "telephone_number": "336-200-8200",
            "fax_number": "336-200-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E SUNSET DR",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281126057",
            "telephone_number": "704-776-9760",
            "fax_number": "704-776-9759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY ACQUISITION COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-10",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-817-6794"
    },
    "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": "11310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174888689",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2136126",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monroe Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Monroe Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; 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.