NPIMap

Organization Active NPI

Health Innovations Pharmacy, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Southern Pines, NC
National Provider Identifier
1205288479
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HEALTH INNOVATIONS PHARMACY, INC.
Practice address
295 Pinehurst Ave
Southern Pines, NC 28387-7023
Phone
(910) 246-5155
Fax
(910) 246-2324
NPI assigned
Jul 12, 2016
Organization subpart
Yes
Parent organization
HEALTH INNOVATIONS PHARMACYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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

Authorized official

Name
Timothy Hall, RPH
Title
Owner
Phone
(910) 246-5155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NC Primary

Addresses

Primary practice location

295 Pinehurst Ave
Southern Pines, NC 28387-7023

Mailing address

295 Pinehurst Ave
Southern Pines, NC 28387-7023
Phone (910) 246-5155

Other identifiers 1

IdentifierTypeStateIssuer
1073651063OtherNCIMMUNIZATION

Other names 1

  • Health Innovations Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Health Innovations of Sanford Inc3 organizations share this tax ID, including this one
Part of
Health Innovations of Sanford Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

295 Pinehurst Ave
Southern Pnes, NC 28387
Phone (910) 246-5155

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468281600000",
    "number": "1205288479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 PINEHURST AVE",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283877023",
            "telephone_number": "910-246-5155",
            "fax_number": "910-246-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 PINEHURST AVE",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283877023",
            "telephone_number": "910-246-5155",
            "fax_number": "910-246-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH INNOVATIONS PHARMACY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTH INNOVATIONS PHARMACY",
        "enumeration_date": "2016-07-12",
        "last_updated": "2016-07-12",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-246-5155",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IMMUNIZATION",
            "identifier": "1073651063",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Innovations Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southern Pines, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.