Organization Active NPI

Rxcp2, Inc

Doing business as Avant Pharmacy and Wellness

  • Community/Retail Pharmacy
  • Charlotte, NC
National Provider Identifier
1396195913
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
12989 Issued in NC
Legal business name
RXCP2, INC
Doing business as
Avant Pharmacy and Wellness
Practice address
6010 E W T Harris Blvd
Charlotte, NC 28215-4084
Phone
(704) 900-2832
Fax
(704) 869-2821
NPI assigned
Jun 14, 2016
Last updated
Jul 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Authorized official

Name
Amina Ali Abubakar, PHARMDNPI 1518086586
Title
Ceo
Phone
(215) 840-5510

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
Community/Retail Pharmacy 3336C0003X 12989 NC Primary

Addresses

Primary practice location

6010 E W T Harris Blvd
Charlotte, NC 28215-4084

Mailing address

6010 E W T Harris Blvd
Charlotte, NC 28215-4084
Phone (704) 900-2832

Other identifiers 1

IdentifierTypeStateIssuer
0602334MedicaidNC

Other names 1

  • Avant Pharmacy and Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231215003037 NC Part B Supplier - Pharmacy 6002265097 Practice locations: Charlotte, NC

National Provider Directory

National Provider Directory

Locations

6010 E Wt Harris Blvd
Charlotte, NC 28215
Phone (704) 208-4134

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1396195913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 E W T HARRIS BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282154084",
            "telephone_number": "704-900-2832",
            "fax_number": "704-869-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 E W T HARRIS BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282154084",
            "telephone_number": "704-900-2832",
            "fax_number": "704-869-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RXCP2, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-14",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "ABUBAKAR",
        "authorized_official_first_name": "AMINA",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-840-5510",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "12989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0602334",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avant Pharmacy and Wellness",
            "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 Jul 25, 2023; 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.

Verify at the official NPI Registry.