Organization Active NPI

Robinhood Family Pharmacy LLC

  • Community/Retail Pharmacy
  • Winston Salem, NC
National Provider Identifier
1437448701
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
10989 Issued in NC
Legal business name
ROBINHOOD FAMILY PHARMACY LLC
Practice address
3424 Robinhood Rd
Winston Salem, NC 27106-4702
Phone
(336) 283-9355
Fax
(336) 283-9357
NPI assigned
Apr 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Authorized official

Name
Gunar Stowers
Title
Pharmacist Manager/Owner
Phone
(336) 283-9355

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 10989 NC Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

3424 Robinhood Rd
Winston Salem, NC 27106-4702

Mailing address

3424 Robinhood Rd
Winston Salem, NC 27106-4702
Phone (336) 283-9355

Other identifiers 2

IdentifierTypeStateIssuer
2129790OtherPK
0347815MedicaidNC

Other names 1

  • Robinhood Family Pharmacy LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111111000630 NC Part B Supplier - Mass Immunization (Roster Biller Only) 1153595947 Practice locations: Winston Salem, NC

National Provider Directory

National Provider Directory

Locations

3424 Robinhood Rd
Winston Salem, NC 27106
Phone (336) 283-9355

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623110400000",
    "number": "1437448701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3424 ROBINHOOD RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271064702",
            "telephone_number": "336-283-9355",
            "fax_number": "336-283-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3424 ROBINHOOD RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271064702",
            "telephone_number": "336-283-9355",
            "fax_number": "336-283-9357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBINHOOD FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-07",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "STOWERS",
        "authorized_official_first_name": "GUNAR",
        "authorized_official_title_or_position": "PHARMACIST MANAGER/OWNER",
        "authorized_official_telephone_number": "336-283-9355"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "10989",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2129790",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0347815",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robinhood Family Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Robinhood Family Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.