Active NPI
Lax Cotswold LLC
Doing business as Walker's Drug Store
- Pharmacy
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 12986
- Legal business name
- LAX COTSWOLD LLC
- Doing business as
- Walker's Drug Store
- Practice address
- 4390 Colwick Rd
Charlotte, NC 28211-2310 - Phone
- (704) 364-3444
- Fax
- (704) 364-1320
- NPI assigned
- Dec 26, 2006
- Last updated
- Apr 30, 2019
- 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
- Vipul Patel
- Title
- Owner
- Phone
- (704) 364-3444
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 12986 | NC | Primary |
| Community/Retail Pharmacy | 3336C0003X | |||
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
4390 Colwick Rd
Charlotte, NC 28211-2310
Mailing address
4390 Colwick Rd
Charlotte, NC 28211-2310
Phone (704) 364-3444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2159592 | Other | PK |
Other names 1
- Walker's Drug Store
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190530000001 | NC | Part B Supplier - Pharmacy | 4385987627 | Practice locations: Charlotte, NC |
| O20210614001033 | NC | Part B Supplier - Independent Clinical Laboratory | 4385987627 | Practice locations: Charlotte, NC |
National Provider Directory
National Provider Directory- Tax ID family
- Lax Cotswold LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
8145 Ardrey Kell Rd
Ste 105
Charlotte, NC 28277
Phone (704) 321-0027
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Charlotte, NC
- NPI 1720692288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1556582400000",
"number": "1396800710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4390 COLWICK RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282112310",
"telephone_number": "704-364-3444",
"fax_number": "704-364-1320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4390 COLWICK RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282112310",
"telephone_number": "704-364-3444",
"fax_number": "704-364-1320"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAX COTSWOLD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-26",
"last_updated": "2019-04-30",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "VIPUL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "704-364-3444"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NC",
"license": "12986",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2159592",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Walker's Drug Store",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Walker's Drug Store",
"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 Apr 30, 2019; 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.