Organization Active NPI

Randleman Plaza Pharmacy

  • Community/Retail Pharmacy
  • Greensboro, NC
National Provider Identifier
1538513346
Registry record updated Jun 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
12954 Issued in NC
Legal business name
RANDLEMAN PLAZA PHARMACY
Doing business as
Randleman Plaza Pharmacy
Practice address
3230 Randleman Rd Ste C
Greensboro, NC 27406-6566
Phone
(336) 763-6878
Fax
(336) 763-2789
NPI assigned
Apr 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2016

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

Authorized official

Name
Huong NiNPI 1962959288
Title
Pharmacy Manager
Phone
(336) 263-0603

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 12954 NC Primary

Addresses

Primary practice location

3230 Randleman Rd Ste C
Greensboro, NC 27406-6566

Mailing address

3230 Randleman Rd Ste C
Greensboro, NC 27406-6566
Phone (336) 763-6878

Other identifiers 1

IdentifierTypeStateIssuer
2160039OtherPK

Other names 1

  • Randleman Plaza Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

3230 Randleman Rd
Ste C
Greensboro, NC 27406
Phone (336) 763-6878

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466726400000",
    "number": "1538513346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 RANDLEMAN RD STE C",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274066566",
            "telephone_number": "336-763-6878",
            "fax_number": "336-763-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 RANDLEMAN RD STE C",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274066566",
            "telephone_number": "336-763-6878",
            "fax_number": "336-763-2789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDLEMAN PLAZA PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-18",
        "last_updated": "2016-06-24",
        "status": "A",
        "authorized_official_last_name": "NI",
        "authorized_official_first_name": "HUONG",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "336-263-0603"
    },
    "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": "12954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160039",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Randleman Plaza Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; 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.