Active NPI
Springfield Pharmacy LLC
- Community/Retail Pharmacy
- Raleigh, NC
National Provider Identifier
1184264897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- SPRINGFIELD PHARMACY LLC
- Practice address
- 6325 Falls of Neuse Rd Ste 65
Raleigh, NC 27615-6884 - Phone
- (517) 303-0775
- NPI assigned
- Jan 10, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Himanshu H Patel, R.PH
- Title
- Pharmacy Manager
- Phone
- (919) 322-4281
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
6325 Falls of Neuse Rd Ste 65
Raleigh, NC 27615-6884
Mailing address
6325 Falls of Neuse Rd Ste 65
Raleigh, NC 27615-6884
Phone (517) 303-0775
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200805000450 | NC | Part B Supplier - Mass Immunization (Roster Biller Only) | 7517382781 | Practice locations: Raleigh, NC |
National Provider Directory
National Provider DirectoryLocations
6325 Falls of Neuse Rd
Ste 65
Raleigh, NC 27615
Phone (517) 303-0775
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Raleigh, NC
- NPI 1982892329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1585180800000",
"number": "1184264897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6325 FALLS OF NEUSE RD STE 65",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276156884",
"telephone_number": "517-303-0775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6325 FALLS OF NEUSE RD STE 65",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276156884",
"telephone_number": "517-303-0775"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPRINGFIELD PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-10",
"last_updated": "2020-03-26",
"certification_date": "2020-03-26",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "HIMANSHU",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PHARMACY MANAGER",
"authorized_official_telephone_number": "919-322-4281",
"authorized_official_credential": "R.PH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
- Spring Arbor Raleigh NC Tenant, LLC (Spring Arbor Raleigh)
- Spring Leaf Solution of TX, LLC
- Spring Leaf Solutions of MD, LLC
- Spring Leaf Solutions of VA, LLC
- Sarah Y Springer, LPC
- Springhaven FCH # 2
- Springmoor Physical Therapy Center, Inc.
- Crystal Sprinkle, NNP-BC
- Tina Eun Sprouse, MD
- Sprout and Bloom Therapy Services PC (Sprout & Bloom Therapy Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; 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.