Falls River Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

FALLS RIVER PHARMACY LLC

Practice address

10930 Raven Ridge Rd Ste 109
Raleigh, NC 27614-6594

Phone

(919) 844-2055

NPI assigned

Jun 14, 2021

Organization subpart

No

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

Authorized official

Name

Travis Paul Holshouser, RPH

Title

Pharmacist/Owner

Phone

(919) 844-2055

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623628800000",
    "number": "1245808567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10930 RAVEN RIDGE RD STE 109",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276146594",
            "telephone_number": "919-844-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10930 RAVEN RIDGE RD STE 109",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276146594",
            "telephone_number": "919-844-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALLS RIVER PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "HOLSHOUSER",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "919-844-2055",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.