Active NPI
Lax Group LLC
- Community/Retail Pharmacy
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 12639
- Legal business name
- LAX GROUP LLC
- Practice address
- 8035 Providence Rd Ste 300
Charlotte, NC 28277-8907 - Phone
- (704) 909-4700
- Fax
- (704) 752-4197
- NPI assigned
- Mar 10, 2015
- 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
- Dr. Vipul Patel, PHARMD
- Title
- Owner
- Phone
- (704) 909-4700
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 12639 | NC | Primary |
Addresses
Primary practice location
8035 Providence Rd Ste 300
Charlotte, NC 28277-8907
Mailing address
8035 Providence Rd Ste 100
Charlotte, NC 28277-9716
Phone (704) 909-4700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2155340 | Other | PK |
Other names 1
- Carolina Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181114003285 | NC | Part B Supplier - Pharmacy | 6204180045 | Practice locations: Charlotte, NC |
| O20200724002056 | NC | Part B Supplier - Independent Clinical Laboratory | 6204180045 | Practice locations: Charlotte, 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.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2184397 | Lax Group, LLC | Certificate of waiver | May 18, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Carolina Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Charlotte, NC
- NPI 1083165799
Locations
8035 Providence Rd
Ste 100
Charlotte, NC 28277
Phone (704) 316-1222
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Charlotte, NC
- NPI 1811546146
-
- Pharmacist
- Charlotte, NC
- NPI 1194054882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425945600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1671062400000",
"number": "1487047874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8035 PROVIDENCE RD STE 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282779716",
"telephone_number": "704-909-4700",
"fax_number": "704-752-4197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8035 PROVIDENCE RD STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282778907",
"telephone_number": "704-909-4700",
"fax_number": "704-752-4197"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAX GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-10",
"last_updated": "2022-12-15",
"certification_date": "2022-12-15",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "VIPUL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "704-909-4700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NC",
"license": "12639",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2155340",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Carolina Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Carolina Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.