Organization Active NPI

G C Visions Investment Group LLC

Doing business as Medicine Shoppe

  • Community/Retail Pharmacy
  • Charlotte, NC
National Provider Identifier
1538231329
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
G C VISIONS INVESTMENT GROUP LLC
Doing business as
Medicine Shoppe
Practice address
1520 West Blvd Ste D
Charlotte, NC 28208-7071
Phone
(704) 334-9494
Fax
(704) 334-9808
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Tonya Carroll, RPH
Title
Owner Pharmacist
Phone
(704) 334-9494

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 09449 NC
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1520 West Blvd Ste D
Charlotte, NC 28208-7071

Mailing address

1520 West Blvd Ste D
Charlotte, NC 28208-7071

Other identifiers 3

IdentifierTypeStateIssuer
0601015MedicaidNC
3440954OtherOTHER ID NUMBER-COMMERCIAL NUMBER
7703895MedicaidNC

Other names 1

  • MEDICINE SHOPPE Doing business as

National Provider Directory

National Provider Directory

Locations

1520 West Blvd
Ste D
Charlotte, NC 28208
Phone (704) 334-9494

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1538231329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 WEST BLVD STE D",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282087071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 WEST BLVD STE D",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282087071",
            "telephone_number": "704-334-9494",
            "fax_number": "704-334-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G C VISIONS INVESTMENT GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "704-334-9494",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NC",
            "license": "09449",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0601015",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3440954",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7703895",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE SHOPPE",
            "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 Mar 7, 2023; 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.