Organization Active NPI

Laynes Family Pharmacy

  • Community/Retail Pharmacy
  • Eden, NC
National Provider Identifier
1265475560
Registry record updated Apr 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
07678 Issued in NC
Legal business name
LAYNES FAMILY PHARMACY
Practice address
509 S Van Buren Rd
Eden, NC 27288-5082
Phone
(336) 627-4600
Fax
(336) 627-1399
NPI assigned
Jun 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2013

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

Authorized official

Name
Kevin Layne, RPH
Title
Pharm/Owner
Phone
(336) 627-4600

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 07678 NC Primary

Addresses

Primary practice location

509 S Van Buren Rd
Eden, NC 27288-5082

Mailing address

509 S Van Buren Rd
Eden, NC 27288-5082
Phone (336) 627-4600

Other identifiers 2

IdentifierTypeStateIssuer
2068788OtherPK
0795759MedicaidNC

Other names 1

  • LAYNES FAMILY PHARMACY INC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050917000343 NC Part B Supplier - Mass Immunization (Roster Biller Only) 2264465467 Practice locations: Eden, NC
O20100930057698 NC DME Supplier - Pharmacy 2264465467 Practice locations: Eden, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Laynes Family Pharmacy Inc509 S. Van Buren Rd, Eden, NC 27288-5082(336) 627-4600 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Seat Lift Mechanisms|Walkers|Wheelchairs (Standard Manual)|Wheelchair… Does not accept assignmentParticipating since Jan 1, 2013

National Provider Directory

National Provider Directory
Tax ID family
Laynes Family Pharmacy4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365379200000",
    "number": "1265475560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 S VAN BUREN RD",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885082",
            "telephone_number": "336-627-4600",
            "fax_number": "336-627-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 S VAN BUREN RD",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885082",
            "telephone_number": "336-627-4600",
            "fax_number": "336-627-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAYNES FAMILY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2013-04-08",
        "status": "A",
        "authorized_official_last_name": "LAYNE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PHARM/OWNER",
        "authorized_official_telephone_number": "336-627-4600",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "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": "07678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2068788",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0795759",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAYNES FAMILY PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eden, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.