Active NPI
Mooresville on-Site Pharmacy LLC
Doing business as Mooresville Pharmacy
- Community/Retail Pharmacy
- Mooresville, NC
National Provider Identifier
1184856551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 10339
- Legal business name
- MOORESVILLE ON-SITE PHARMACY LLC
- Doing business as
- Mooresville Pharmacy
- Practice address
- 1000 Lowes Blvd
Mooresville, NC 28117-8520 - Phone
- (704) 757-1760
- Fax
- (704) 757-0851
- NPI assigned
- Aug 18, 2009
- 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
- Steve Haiber
- Title
- Assistant Secretary
- Phone
- (480) 403-3504
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 10339 | NC | Primary |
Addresses
Primary practice location
1000 Lowes Blvd
Mooresville, NC 28117-8520
Mailing address
1000 Lowes Blvd
Mooresville, NC 28117-8520
Phone (704) 757-1760
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3416193 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- Mooresville Pharmacy
National Provider Directory
National Provider DirectoryLocations
1000 Lowes Blvd
Mooresville, NC 28117
Phone (704) 757-1760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326153600000",
"number": "1184856551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 LOWES BLVD",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281178520",
"telephone_number": "704-757-1760",
"fax_number": "704-757-0851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 LOWES BLVD",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281178520",
"telephone_number": "704-757-1760",
"fax_number": "704-757-0851"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOORESVILLE ON-SITE PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-18",
"last_updated": "2012-01-10",
"status": "A",
"authorized_official_last_name": "HAIBER",
"authorized_official_first_name": "STEVE",
"authorized_official_title_or_position": "ASSISTANT SECRETARY",
"authorized_official_telephone_number": "480-403-3504"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NC",
"license": "10339",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "3416193",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mooresville Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Mooresville, NC
- Mooresville Home Care Services, LLC (Lake Norman Home Health)
- Mooresville Hospital Management Associates LLC (Lake Norman Regional Medical Center)
- Mooresville Hospital Management Associates LLC (Lake Norman Regional Medical Center Home Care)
- Mooresville Hospital Management Associates, LLC
- Mooresville Hospital Managment Associates Inc (Surgical Center of Lake Norman)
- Mooresville Pharmacy East LLC (Mooresville Compounding Specialties)
- Mooresville Pharmacy East LLC (HealthSmart Pharmacy (East))
- Mooresville Pharmacy East, LLC (Healthsmart Pharmacy)
- Mooresville Pharmacy East, LLC
- Mooresville Pharmacy LLC (HealthSmart Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.