Organization Active NPI

Fisher RX Direct LLC

  • Community/Retail Pharmacy
  • Shelby, NC
National Provider Identifier
1619151404
Registry record updated Jun 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
09970 Issued in NC
Legal business name
FISHER RX DIRECT LLC
Doing business as
FISHER RX DIRECT
Practice address
1157 E Marion St Ste 1
Shelby, NC 28150-4890
Phone
(704) 482-7963
Fax
(704) 482-7967
NPI assigned
Dec 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2010

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

Authorized official

Name
Cindy Fisher
Title
Owner
Phone
(704) 482-7963

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 09970 NC Primary

Addresses

Primary practice location

1157 E Marion St Ste 1
Shelby, NC 28150-4890

Mailing address

1157 E Marion St Ste 1
Shelby, NC 28150-4890
Phone (704) 482-7963

Other identifiers 3

IdentifierTypeStateIssuer
0235924MedicaidNC
3409958OtherNCPDP PROVIDER IDENTIFICATION NUMBER
7704811MedicaidNC

Other names 1

  • FISHER RX DIRECT Doing business as

National Provider Directory

National Provider Directory

Locations

1157 E Marion St
Ste 1
Shelby, NC 28150
Phone (704) 482-7963

NPI Registry JSON

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1619151404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 E MARION ST STE 1",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504890",
            "telephone_number": "704-482-7963",
            "fax_number": "704-482-7967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 E MARION ST STE 1",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504890",
            "telephone_number": "704-482-7963",
            "fax_number": "704-482-7967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISHER RX DIRECT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-482-7963"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "09970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0235924",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3409958",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704811",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FISHER RX DIRECT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; 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.