Active NPI
Lear Enterprises Inc
Doing business as Walkers Drug Store
- Pharmacy
- Charlotte, NC
National Provider Identifier
1184960528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 10154
- Legal business name
- LEAR ENTERPRISES INC
- Doing business as
- Walkers Drug Store
- Practice address
- 8145 Ardrey Kell Rd
Suite 105
Charlotte, NC 28277-5720 - Phone
- (704) 321-0027
- Fax
- (704) 321-0067
- NPI assigned
- Dec 12, 2012
- 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
- Amy Kern, PHARMD
- Title
- Pharmacy Manager
- Phone
- (704) 321-0027
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 10154 | NC | Primary |
Addresses
Primary practice location
8145 Ardrey Kell Rd
Suite 105
Charlotte, NC 28277-5720
Mailing address
8145 Ardrey Kell Rd
Suite 105
Charlotte, NC 28277-5720
Phone (704) 321-0027
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0602301 | Medicaid | NC | |
| 7705159 | Other | NC | MEDICAID DME |
| 2724920A | Other | NC | MEDICARE MASS IMMUNIZER |
Other names 1
- Walkers Drug Store
National Provider Directory
National Provider Directory- Tax ID family
- Lear Enterprises
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
8145 Ardrey Kell Rd
Ste 105
Charlotte, NC 28277
Phone (704) 321-0027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595894400000",
"number": "1184960528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8145 ARDREY KELL RD",
"address_2": "SUITE 105",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282775720",
"telephone_number": "704-321-0027",
"fax_number": "704-321-0067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8145 ARDREY KELL RD",
"address_2": "SUITE 105",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282775720",
"telephone_number": "704-321-0027",
"fax_number": "704-321-0067"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEAR ENTERPRISES INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-12",
"last_updated": "2020-07-28",
"certification_date": "2020-07-28",
"status": "A",
"authorized_official_last_name": "KERN",
"authorized_official_first_name": "AMY",
"authorized_official_title_or_position": "PHARMACY MANAGER",
"authorized_official_telephone_number": "704-321-0027",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NC",
"license": "10154",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0602301",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID DME",
"identifier": "7705159",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE MASS IMMUNIZER",
"identifier": "2724920A",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Walkers Drug Store",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Walkers Drug Store",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.