Organization Active NPI

Mahavir RX, LLC

Doing business as Southpoint Pharmacy

  • Community/Retail Pharmacy
  • Durham, NC
National Provider Identifier
1477039253
Registry record updated Jun 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MAHAVIR RX, LLC
Doing business as
Southpoint Pharmacy
Practice address
6216 Fayetteville Rd Ste 105
Durham, NC 27713
Phone
(919) 641-6112
NPI assigned
Jul 16, 2018
Last updated
Jun 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2021

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

Authorized official

Name
Prasanna Bafana, RPHNPI 1659404184
Title
Manager
Phone
(919) 908-0200

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

6216 Fayetteville Rd Ste 105
Durham, NC 27713

Mailing address

6216 Fayetteville Rd Ste 105
Durham, NC 27713-6287
Phone (919) 908-0200

Other names 1

  • Southpoint Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181024001072 NC Part B Supplier - Mass Immunization (Roster Biller Only) 4789937558 Practice locations: Durham, NC

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2247959Southpoint Pharmacy6216 Fayetteville Rd Suite 105, Durham, NC 27713Certificate of waiverJan 10, 2028

National Provider Directory

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": "1531699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624147200000",
    "number": "1477039253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6216 FAYETTEVILLE RD STE 105",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136287",
            "telephone_number": "919-908-0200",
            "fax_number": "919-908-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6216 FAYETTEVILLE RD STE 105",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27713",
            "telephone_number": "919-641-6112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHAVIR RX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-16",
        "last_updated": "2021-06-20",
        "certification_date": "2021-06-20",
        "status": "A",
        "authorized_official_last_name": "BAFANA",
        "authorized_official_first_name": "PRASANNA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "919-908-0200",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southpoint Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.