Family Pharmacy of Statesville, Inc.

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

FAMILY PHARMACY OF STATESVILLE, INC.

Doing business as

Family Pharmacy of Statesville
ProvidenceRx

Practice address

3478 E Broad St
Statesville, NC 28625-4523

Phone

(704) 872-0296

Fax

(704) 883-5856

NPI assigned

Dec 20, 2005

Last updated

Mar 6, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joshua Eudy, BSNPI 1326193558

Title

Ceo

Phone

(704) 872-0296

Specialties & licenses 6

Addresses

Other identifiers 2

Other names 2

• FAMILY PHARMACY OF STATESVILLE Doing business as
• ProvidenceRx Doing business as

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.

• Joshua A Eudy, C.PED.

  • Pedorthist
  • Statesville, NC
  • NPI 1326193558
  NPD Authorized official

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1538145610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3478 E BROAD ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286254523",
            "telephone_number": "704-872-0296",
            "fax_number": "704-883-5856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3478 E BROAD ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286254523",
            "telephone_number": "704-872-0296",
            "fax_number": "704-883-5856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PHARMACY OF STATESVILLE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-20",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "EUDY",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-872-0296",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "04383",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2069161",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0495390",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY PHARMACY OF STATESVILLE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FAMILY PHARMACY OF STATESVILLE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ProvidenceRx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul Emanuel Fagan, PA-C
• Colby Fagin, M.D.
• Fairgrove Radiation Oncology, PA
• Arfa Faiz, MD
• Richard E Falls
• Ashley Farr
• Donald Lewis Farris, LPC
• Michael Keith Farris, MD
• Nicholas Fasciano
• Jeffrey James Faulk Jr., P.T.

• Long Term Care Pharmacy in Statesville, NC
• Providers in Statesville, NC by specialty
• Long Term Care Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.