NPIMap

Organization Active NPI

Health Innovations of Sanford, Inc.

  • Community/Retail Pharmacy
  • Southern Pines, NC
National Provider Identifier
1346798824
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
11195 Issued in NC
Legal business name
HEALTH INNOVATIONS OF SANFORD, INC.
Practice address
295 Pinehurst Ave.
BLDG. 2
Southern Pines, NC 28387-7052
Phone
(910) 246-5155
Fax
(910) 246-2324
NPI assigned
Sep 14, 2016
Organization subpart
Yes
Parent organization
HEALTH INNOVATIONS PHARMACY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

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

Authorized official

Name
Mr. Timothy Hall Clark, RPH
Title
Ceo
Phone
(910) 246-5155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 11195 NC Primary

Addresses

Primary practice location

295 Pinehurst Ave.
BLDG. 2
Southern Pines, NC 28387-7052

Mailing address

814 Spring Lane Dr.
Sanford, NC 27330-3437
Phone (919) 777-0402

Other names 1

  • Health Innovations Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Health Innovations of Sanford Inc3 organizations share this tax ID, including this one
Part of
Health Innovations of Sanford Inc

Other organizations with this tax ID 2

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

Locations

814 Spring Ln
Sanford, NC 27330
Phone (910) 246-5155

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473811200000",
    "number": "1346798824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 SPRING LANE DR.",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273303437",
            "telephone_number": "919-777-0402",
            "fax_number": "919-777-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 PINEHURST AVE.",
            "address_2": "BLDG. 2",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283877052",
            "telephone_number": "910-246-5155",
            "fax_number": "910-246-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH INNOVATIONS OF SANFORD, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTH INNOVATIONS PHARMACY, INC.",
        "enumeration_date": "2016-09-14",
        "last_updated": "2016-09-14",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "HALL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-246-5155",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "11195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Innovations Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southern Pines, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.