Organization Active NPI

Zinovia & Co LLC

Doing business as Home Town Pharmacy

  • Community/Retail Pharmacy
  • Sanford, NC
National Provider Identifier
1417331430
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
12628 Issued in NC
Legal business name
ZINOVIA & CO LLC
Doing business as
Home Town Pharmacy
Practice address
101 S Vance St
Sanford, NC 27330-4239
Phone
(919) 292-1423
Fax
(919) 292-1732
NPI assigned
Jul 20, 2015
Last updated
Nov 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Authorized official

Name
Ravichand Yalamanchili
Title
Pharmacy Manager
Phone
(919) 292-1423

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 12628 NC Primary

Addresses

Primary practice location

101 S Vance St
Sanford, NC 27330-4239

Mailing address

101 S Vance St
Sanford, NC 27330-4239
Phone (919) 292-1423

Other identifiers 1

IdentifierTypeStateIssuer
2153324OtherPK

Other names 1

  • Home Town Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Home Town Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636934400000",
    "number": "1417331430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S VANCE ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304239",
            "telephone_number": "919-292-1423",
            "fax_number": "919-292-1732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S VANCE ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304239",
            "telephone_number": "919-292-1423",
            "fax_number": "919-292-1732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZINOVIA & CO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-20",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "YALAMANCHILI",
        "authorized_official_first_name": "RAVICHAND",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "919-292-1423"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "12628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2153324",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Town Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Home Town Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sanford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.