Lexington Family Pharmacy LLC
Organization Active NPI Community/Retail Pharmacy · Lexington, NC
NPI 1437570652 · NPPES record last updated Jun 18, 2026
Key facts
- NPI
- 1437570652
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 11769 (NC)
- Legal business name
- LEXINGTON FAMILY PHARMACY LLC
- Practice address
- 800 E Center St
Lexington, NC 27292-4402 - Phone
- (336) 237-0648
- Fax
- (336) 237-0684
- NPI assigned
- Dec 16, 2013
- Organization subpart
- No
Authorized official
- Name
- Russell Warren Patterson, PHARM D.
- Title
- President
- Phone
- (336) 237-0648
Practitioners 2
-
Steven Eliot Koontz, RPH, PHARMD
-
Calvin Odom, RPH
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2156584 | Lexington Family Pharmacy, LLC | Certificate of waiver | Oct 21, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141230001665 | NC | Part B Supplier - Mass Immunization (Roster Biller Only) | 3274856109 | Practice locations: Lexington, NC |
National Provider Directory
Locations
800 E Center St
Lexington, NC 27292
Phone (336) 237-0648
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 11769 | NC | |
| Community/Retail Pharmacy | 3336C0003X | 11769 | NC | Yes |
Addresses
Primary practice location
800 E Center St
Lexington, NC 27292-4402
Mailing address
1107 W Market Center Dr
High Point, NC 27260-1642
Phone (336) 817-6794
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437570652 | Medicaid | NC |
Other names
- Lexington Family Pharmacy
Other providers in Lexington, NC
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- Lexington Dialysis Center of Wake Forest University
- Lexington Drug Store LLC
- Lexington Family Chiropractic Center, P.a.
- Lexington Family Physicians PA
- Lexington Internal Medical Care PLLC
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All providers in Lexington, NC · Community/Retail Pharmacy in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.