NPIMap

Organization Active NPI

Food Lion LLC

Doing business as Bloom Pharmacy

  • Community/Retail Pharmacy
  • Charlotte, NC
National Provider Identifier
1235222605
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
FOOD LION LLC
Doing business as
Bloom Pharmacy
Practice address
9323 N Tryon St
Charlotte, NC 28262-8465
Phone
(704) 971-1507
Fax
(704) 971-1083
NPI assigned
Sep 30, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Stacie Curran
Title
Third Party Manager
Phone
(207) 885-3161

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 8809 NC
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

9323 N Tryon St
Charlotte, NC 28262-8465

Mailing address

PO Box 1000 MSC 3000
Portland, ME 04104-5005

Other identifiers 2

IdentifierTypeStateIssuer
0609808MedicaidNC
3400102OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • BLOOM PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Food Lion LLC35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

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

View all 34

Locations

9323 N Tryon St
Charlotte, NC 28262
Phone (704) 971-1507

NPI Registry JSON

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1235222605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000 MSC 3000",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041045005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9323 N TRYON ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282628465",
            "telephone_number": "704-971-1507",
            "fax_number": "704-971-1083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOD LION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CURRAN",
        "authorized_official_first_name": "STACIE",
        "authorized_official_title_or_position": "THIRD PARTY MANAGER",
        "authorized_official_telephone_number": "207-885-3161"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NC",
            "license": "8809",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0609808",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3400102",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BLOOM PHARMACY",
            "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 Sep 11, 2025; 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.