Organization Active NPI

1St RX Pharmacy Inc

  • Community/Retail Pharmacy
  • Statesville, NC
National Provider Identifier
1366488454
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5384 Issued in NC
Legal business name
1ST RX PHARMACY INC
Practice address
837 N Center St
Statesville, NC 28677-3222
Phone
(704) 872-0880
Fax
(704) 871-0440
NPI assigned
Jun 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Larry N Marlin
Title
President/Owner
Phone
(704) 872-0880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5384 NC Primary

Addresses

Primary practice location

837 N Center St
Statesville, NC 28677-3222

Mailing address

837 N Center St
Statesville, NC 28677-3222
Phone (704) 872-0880

Other identifiers 1

IdentifierTypeStateIssuer
0495960MedicaidNC

National Provider Directory

National Provider Directory

Locations

837 N Center St
Statesville, NC 28677
Phone (704) 872-0880

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366488454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 N CENTER ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773222",
            "telephone_number": "704-872-0880",
            "fax_number": "704-871-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 N CENTER ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773222",
            "telephone_number": "704-872-0880",
            "fax_number": "704-871-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST RX PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARLIN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "704-872-0880",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "5384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0495960",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.