Organization Active NPI

Pike'S Pharmacy Inc

  • Pharmacy
  • Charlotte, NC
National Provider Identifier
1295110864
Registry record updated Jul 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
04081 Issued in NC
Legal business name
PIKE'S PHARMACY INC
Practice address
2133 Shamrock Dr
Charlotte, NC 28205-2132
Phone
(704) 563-2286
NPI assigned
Jul 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2015

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

Authorized official

Name
Jesse Miller Pike Jr., RPHNPI 1386647626
Title
Pharmacist Owner
Phone
(704) 563-2286

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 04081 NC Primary

Addresses

Primary practice location

2133 Shamrock Dr
Charlotte, NC 28205-2132

Mailing address

2133 Shamrock Dr
Charlotte, NC 28205-2132
Phone (704) 563-2286

Other identifiers 1

IdentifierTypeStateIssuer
0606491MedicaidNC

National Provider Directory

National Provider Directory

Locations

2133 Shamrock Dr
Charlotte, NC 28205
Phone (704) 563-2286

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1437696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437696000000",
    "number": "1295110864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2133 SHAMROCK DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282052132",
            "telephone_number": "704-563-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2133 SHAMROCK DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282052132",
            "telephone_number": "704-563-2286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKE'S PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-24",
        "last_updated": "2015-07-24",
        "status": "A",
        "authorized_official_last_name": "PIKE",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "MILLER",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "704-563-2286",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NC",
            "license": "04081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0606491",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; 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.