Active NPI
Laynes Family Pharmacy
- Community/Retail Pharmacy
- Eden, NC
National Provider Identifier
1265475560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 07678
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2068788 | Other | PK | |
| 0795759 | Medicaid | NC |
Other names 1
- LAYNES FAMILY PHARMACY INC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Laynes Family Pharmacy Inc | 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 assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Laynes Family Pharmacy
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Eden, NC
- NPI 1154617918
-
- Durable Medical Equipment & Medical Supplies
- Eden, NC
- NPI 1083600696
-
- Pharmacy
- Eden, NC
- NPI 1851698385
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.