NPIMap

Organization Active NPI

Advance Community Health, Inc

Doing business as Advance Community Health Pharmacy Louisburg

  • Pharmacy
  • Louisburg, NC
National Provider Identifier
1619655297
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
ADVANCE COMMUNITY HEALTH, INC
Doing business as
Advance Community Health Pharmacy Louisburg
Practice address
205 Sandalwood Ave
Louisburg, NC 27549-2679
Phone
(919) 755-5060
NPI assigned
Jul 5, 2023
Last updated
Feb 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Authorized official

Name
Tonchelle Renee Lucas
Title
Credentialing Manager
Phone
(919) 250-2978

Specialties & licenses 2

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

Addresses

Primary practice location

205 Sandalwood Ave
Louisburg, NC 27549-2679

Mailing address

1001 Rock Quarry Rd
Raleigh, NC 27610-3825

Other names 1

  • Advance Community Health Pharmacy Louisburg Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wake Health Services in17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

Locations

111 S Church St
Louisburg, NC 27549
Phone (919) 250-2923

NPI Registry JSON

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

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1619655297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 ROCK QUARRY RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276103825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 SANDALWOOD AVE",
            "city": "LOUISBURG",
            "state": "NC",
            "postal_code": "275492679",
            "telephone_number": "919-755-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE COMMUNITY HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-05",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "TONCHELLE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "919-250-2978"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advance Community Health Pharmacy Louisburg",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advance Community Health Pharmacy Louisburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisburg, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.