Active NPI
Family Pharmacy of Louisburg, L.L.C.
- Community/Retail Pharmacy
- Louisburg, NC
National Provider Identifier
1477860930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 9590
- Legal business name
- FAMILY PHARMACY OF LOUISBURG, L.L.C.
- Practice address
- 339 S Bickett Blvd
Louisburg, NC 27549-2701 - Phone
- (919) 340-1100
- Fax
- (919) 340-1101
- NPI assigned
- Sep 6, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Patricia Johnson Person, RPH
- Title
- Pharmacist Manager/Owner
- Phone
- (919) 340-1100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 9590 | NC | Primary |
Addresses
Primary practice location
339 S Bickett Blvd
Louisburg, NC 27549-2701
Mailing address
339 S Bickett Blvd
Louisburg, NC 27549-2701
Phone (919) 340-1100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0355321 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110228000030 | NC | DME Supplier - Pharmacy | 8426239286 | Practice locations: Louisburg, NC |
| O20120208000125 | NC | Part B Supplier - Mass Immunization (Roster Biller Only) | 8426239286 | Practice locations: Louisburg, NC |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Family Pharmacy of Louisburg | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
339 S Bickett Blvd
Louisburg, NC 27549
Phone (919) 340-1100
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Louisburg, NC
- NPI 1962703165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283731200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329696000000",
"number": "1477860930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "339 S BICKETT BLVD",
"city": "LOUISBURG",
"state": "NC",
"postal_code": "275492701",
"telephone_number": "919-340-1100",
"fax_number": "919-340-1101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "339 S BICKETT BLVD",
"city": "LOUISBURG",
"state": "NC",
"postal_code": "275492701",
"telephone_number": "919-340-1100",
"fax_number": "919-340-1101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY PHARMACY OF LOUISBURG, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-06",
"last_updated": "2012-02-20",
"status": "A",
"authorized_official_last_name": "PERSON",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "JOHNSON",
"authorized_official_title_or_position": "PHARMACIST MANAGER/OWNER",
"authorized_official_telephone_number": "919-340-1100",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NC",
"license": "9590",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0355321",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisburg, NC
- Family Based Strategies, Inc
- Family Eye Center
- Family Intervention & Prevention Services, LLC
- Family Intervention & Prevention Services, LLC
- Family Intervention and Prevention Services, LLC
- Family Preservation Services of NC, Inc - Edward Best School
- Family Preservation Services of NC, Inc - Louisburg Elementary School
- Family Preservation Services of NC, Inc - Terrell Lane Middle School
- Family Solutions USA, Inc.
- Darlene Lynn Farrow, OT/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; 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.