Organization Active NPI

Concord Specialty Pharmacy

  • Community/Retail Pharmacy
  • Concord, NC
National Provider Identifier
1285356188
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CONCORD SPECIALTY PHARMACY
Doing business as
Concord Specialty Pharmacy
Practice address
1085 NE Gateway CT NE Ste 190
Concord, NC 28025-2407
Phone
(704) 666-1780
NPI assigned
Sep 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Authorized official

Name
Shakuntla Devi, MANAGER
Title
Manager
Phone
(704) 666-1780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1085 NE Gateway CT NE Ste 190
Concord, NC 28025-2407

Mailing address

1085 NE Gateway CT NE Ste 190
Concord, NC 28025-2407
Phone (704) 666-1780

Other names 1

  • CONCORD SPECIALTY PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

1085 NE Gateway Ct NE
Ste 190
Concord, NC 28025
Phone (704) 403-8684

NPI Registry JSON

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1285356188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 NE GATEWAY CT NE STE 190",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252407",
            "telephone_number": "704-666-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 NE GATEWAY CT NE STE 190",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252407",
            "telephone_number": "704-666-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORD SPECIALTY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-16",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A",
        "authorized_official_last_name": "DEVI",
        "authorized_official_first_name": "SHAKUNTLA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "704-666-1780",
        "authorized_official_credential": "MANAGER"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CONCORD SPECIALTY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CONCORD SPECIALTY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.