2RKS, LLC

Organization Active NPI Community/Retail Pharmacy · Burnsville, NC

NPI 1407145014 · NPPES record last updated Nov 30, 2011

Key facts

NPI
1407145014
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
11004 (NC)
Legal business name
2RKS, LLC
Practice address
730 E Main St
Burnsville, NC 28714-3102
Phone
(828) 678-3914
Fax
(828) 678-3945
NPI assigned
Apr 4, 2011
Organization subpart
No

Authorized official

Name
Mr. William Anthony Randolph
Title
Owner
Phone
(828) 678-3914

Corporate family (same tax ID) 1

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
2RKS, LLC Dba the Prescription Pad
730 E Main St, Burnsville, NC 28714-3102 · (828) 678-3914
Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Insulin Infusion Pumps and/or Supplies|Canes and/or Crutches|Seat Lift Mechanisms|Walkers|Orthoses: Off-The-Shelf|Os… Accepts assignment
Participating since Sep 16, 2011

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in NC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20111109000044 NC DME Supplier - Pharmacy 5799958609 Practice locations: Burnsville, NC
O20120223000053 NC Part B Supplier - Mass Immunization (Roster Biller Only) 5799958609 Practice locations: Burnsville, NC

National Provider Directory

Tax ID family
2RKS (2 organizations share this tax ID)

Locations

730 E Main St
Burnsville, NC 28714
Phone (828) 678-1121

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 11004 NC Yes

Addresses

Primary practice location

730 E Main St
Burnsville, NC 28714-3102

Mailing address

730 E Main St
Burnsville, NC 28714-3102
Phone (828) 678-3914

Other names

  • The Prescription Pad of Burnsville Doing business as

Other providers in Burnsville, NC

All providers in Burnsville, NC · Community/Retail Pharmacy in North Carolina

Sources for this page

Verify at the official NPI Registry.