NPIMap

Organization Active NPI

Nalle Pharmacy Inc

Doing business as Mint Hill Pharmacy

  • Community/Retail Pharmacy
  • Mint Hill, NC
National Provider Identifier
1588800478
Registry record updated Apr 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
10181 Issued in NC
Legal business name
NALLE PHARMACY INC
Doing business as
Mint Hill Pharmacy
Practice address
11304 Hawthorne Dr
Ste 120
Mint Hill, NC 28227-9300
Phone
(704) 545-9687
Fax
(704) 545-1823
NPI assigned
Dec 23, 2008
Last updated
Apr 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2009

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

Authorized official

Name
Carl DagenhartNPI 1164735395
Title
Owner
Phone
(704) 342-8180

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 10181 NC Primary

Addresses

Primary practice location

11304 Hawthorne Dr
Ste 120
Mint Hill, NC 28227-9300

Mailing address

11304 Hawthorne Dr
Ste 120
Mint Hill, NC 28227-9300

Other names 1

  • Mint Hill Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mint Hill Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1229990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238976000000",
    "number": "1588800478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11304 HAWTHORNE DR",
            "address_2": "STE 120",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282279300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11304 HAWTHORNE DR",
            "address_2": "STE 120",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282279300",
            "telephone_number": "704-545-9687",
            "fax_number": "704-545-1823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NALLE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-23",
        "last_updated": "2009-04-06",
        "status": "A",
        "authorized_official_last_name": "DAGENHART",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-342-8180"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "10181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mint Hill Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mint Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; 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.