Active NPI
Friendly Pharmacy, Inc
- Community/Retail Pharmacy
- Greensboro, NC
National Provider Identifier
1346679412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 11675
- Legal business name
- FRIENDLY PHARMACY, INC
- Practice address
- 3712 Lawndale Dr Ste G
Greensboro, NC 27455-3066 - Phone
- (336) 790-7343
- NPI assigned
- Nov 8, 2013
- 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
- Shana Leggett
- Title
- Operations Manager
- Phone
- (336) 790-7343
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 11675 | NC | Primary |
Addresses
Primary practice location
3712 Lawndale Dr Ste G
Greensboro, NC 27455-3066
Mailing address
3712 Lawndale Dr Ste G
Greensboro, NC 27455-3066
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346679412 | Medicaid | NC |
Other names 1
- Friendly Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210309000310 | NC | Part B Supplier - Pharmacy | 5799198925 | Practice locations: Greensboro, NC |
National Provider Directory
National Provider DirectoryLocations
3712 Lawndale Dr
Ste D
Greensboro, NC 27455
Phone (336) 419-1099
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Greensboro, NC
- NPI 1205253937
-
- Pharmacist
- Greensboro, NC
- NPI 1902223639
-
- Community/Retail Pharmacy
- Greensboro, NC
- NPI 1518552579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1609804800000",
"number": "1346679412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3712 LAWNDALE DR STE G",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274553066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3712 LAWNDALE DR STE G",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274553066",
"telephone_number": "336-790-7343"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRIENDLY PHARMACY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-08",
"last_updated": "2021-01-05",
"certification_date": "2021-01-05",
"status": "A",
"authorized_official_last_name": "LEGGETT",
"authorized_official_first_name": "SHANA",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "336-790-7343"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NC",
"license": "11675",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1346679412",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Friendly Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.