A1 Pharmacy and Surgical Supply, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

09317 Issued in NC

Legal business name

A1 PHARMACY AND SURGICAL SUPPLY, LLC

Doing business as

A1 Pharmacy and Surgical Supply LLC

Practice address

124 Forest Hill Rd
Lexington, NC 27295

Phone

(336) 224-6500

Fax

(336) 224-6555

NPI assigned

Jun 29, 2006

Last updated

Mar 1, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ravin Shah, MS RPHNPI 1902812068

Title

Owner

Phone

(980) 328-4476

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• A1 PHARMACY AND SURGICAL SUPPLY LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in NC2 enrollments

Enrollment records 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ravin R Shah, MS,RPH

  • Pharmacist
  • Lexington, NC
  • NPI 1902812068
  NPD Authorized official
• Laquoia Johnson, PHARMD

  • Pharmacist
  • Lexington, NC
  • NPI 1265248900
  NPD (past)
• Nidhi Sharma

  • Pharmacist
  • Lexington, NC
  • NPI 1588218424
  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646092800000",
    "number": "1265460901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 FOREST HILL RD",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272952008",
            "telephone_number": "336-224-6500",
            "fax_number": "336-224-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 FOREST HILL RD",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "27295",
            "telephone_number": "336-224-6500",
            "fax_number": "336-224-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A1 PHARMACY AND SURGICAL SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "RAVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "980-328-4476",
        "authorized_official_credential": "MS RPH"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "09317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2065853",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0295864",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A1 PHARMACY AND SURGICAL SUPPLY LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "A1 PHARMACY AND SURGICAL SUPPLY LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Lexington, NC
• Providers in Lexington, 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 Mar 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.