Creative Health Initiatives LTD

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

08126 Issued in NC

Legal business name

CREATIVE HEALTH INITIATIVES LTD

Doing business as

Medicap Pharmacy

Practice address

361 Geo W Liles Pkwy NW
Concord, NC 28027-6532

Phone

(704) 789-9681

NPI assigned

Sep 16, 2008

Organization subpart

No

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

Authorized official

Name

Thomas Thompson, RPH

Title

Owner

Phone

(704) 789-9681

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Medicap Pharmacy Doing business as

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1205085115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 GEO W LILES PKWY NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280276532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 GEO W LILES PKWY NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280276532",
            "telephone_number": "704-789-9681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE HEALTH INITIATIVES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-16",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-789-9681",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "08126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "1205085115",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicap Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristopher Vincent Crawford, DMD
• Rae Crawford
• John David Crawley, MD
• Susan B Crawley, PHD
• Crden Rose Holding Company
• Creative Opportunities for Personal Empowerment, LLC
• Sheyenne Crespo
• Stacia Lynn Crick-Brommel, LCSW
• Greta H. Crisco, NP
• Hughes Tate Crisp, Jr., BA

• Community/Retail Pharmacy in Concord, NC
• Providers in Concord, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.