Organization Active NPI

Laxwood, LLC

Doing business as Carolina Pharmacy

  • Community/Retail Pharmacy
  • Charlotte, NC
National Provider Identifier
1316520455
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LAXWOOD, LLC
Doing business as
Carolina Pharmacy
Practice address
3039 South Blvd Ste F
Charlotte, NC 28209-1866
Phone
(980) 443-4910
Fax
(980) 999-5664
NPI assigned
May 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Authorized official

Name
Dr. Vipul Bharatbhai Patel, PHARMD
Title
Owner
Phone
(980) 443-4910

Specialties & licenses 1

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

Addresses

Primary practice location

3039 South Blvd Ste F
Charlotte, NC 28209-1866

Mailing address

3039 South Blvd Ste F
Charlotte, NC 28209-1866
Phone (980) 443-4910

Other names 1

  • Carolina Pharmacy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL www.carolinapharmacy.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

3039 South Blvd
Ste F
Charlotte, NC 28209
Phone (704) 525-3956

NPI Registry JSON

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1316520455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3039 SOUTH BLVD STE F",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282091866",
            "telephone_number": "980-443-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3039 SOUTH BLVD STE F",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282091866",
            "telephone_number": "980-443-4910",
            "fax_number": "980-999-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAXWOOD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VIPUL",
        "authorized_official_middle_name": "BHARATBHAI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "980-443-4910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "www.carolinapharmacy.com",
            "affiliation": "N",
            "endpointDescription": "www.carolinapharmacy.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3039 South Blvd Ste F",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282091866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Carolina Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 5, 2021; 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.