Healthfirst Pharmacy of Wake Forest,LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

08879 Issued in NC

Legal business name

HEALTHFIRST PHARMACY OF WAKE FOREST,LLC

Practice address

2001 S Main St
Wake Forest, NC 27587-1612

Phone

(919) 569-0500

Fax

(919) 556-4288

NPI assigned

Sep 15, 2008

Organization subpart

No

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

Authorized official

Name

Lynn Holt, RPHNPI 1447409859

Title

Owner/Manager

Phone

(919) 569-0500

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• healthfirst pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Health First Pharmacy of Wake Forest LLC

  • Community/Retail Pharmacy
  • Wake Forest, NC
  • NPI 1942377668

  6901856145

  Same PAC ID

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

CLIA laboratory certificates

Tax ID family

Health First Pharmacy of Wake Forest LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Health First Pharmacy of Wake Forest LLC

  • Community/Retail Pharmacy
  • Wake Forest, NC
  • NPI 1942377668
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• BW II LLC

  • Community/Retail Pharmacy
  • Clayton, NC
  • NPI 1801968698

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lynn Holt, RPH

  • Pharmacist
  • Wake Forest, NC
  • NPI 1447409859
  NPD Authorized official

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1285883207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S MAIN ST",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275871612",
            "telephone_number": "919-569-0500",
            "fax_number": "919-556-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S MAIN ST",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275871612",
            "telephone_number": "919-569-0500",
            "fax_number": "919-556-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHFIRST PHARMACY OF WAKE FOREST,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-15",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "919-569-0500",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NC",
            "license": "08879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0920745",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704226",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER",
            "identifier": "2801166",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "healthfirst pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan M Haverkamp, NP
• Sydney Hayden, LPA
• Taylor Carl Hayden, LPCA
• Headway ABA LLC
• Health First Pharmacy of Wake Forest LLC
• Heartbeat RT-LLC
• Taylor Heath
• April Marie Hedrick
• Tammy Heery
• Pamela Heggins

• Pharmacy in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; 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.