Organization Active NPI

Five Points Pharma, LLC

Doing business as Medical Village Long Term Care Pharmacy

  • Community/Retail Pharmacy
  • Hickory, NC
National Provider Identifier
1639535156
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
12909 Issued in NC
Legal business name
FIVE POINTS PHARMA, LLC
Doing business as
Medical Village Long Term Care Pharmacy
Medical VillagePharmacy
Practice address
615 Main Ave SW
Hickory, NC 28602-2601
Phone
(828) 780-8510
Fax
(828) 780-8520
NPI assigned
Jan 13, 2016
Last updated
Jul 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Authorized official

Name
Kelly Hines Cross, RPHNPI 1588020325
Title
Owner/ Pic
Phone
(828) 780-8510

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 12909 NC Primary

Addresses

Primary practice location

615 Main Ave SW
Hickory, NC 28602-2601

Mailing address

PO Box 1467
Hickory, NC 28603-1467
Phone (828) 780-8510

Other identifiers 2

IdentifierTypeStateIssuer
1639535156MedicaidNC
2158134OtherPK

Other names 2

  • Medical Village Long Term Care Pharmacy Doing business as
  • Medical VillagePharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20161028002221 NC DME Supplier - Pharmacy 5193003986 Practice locations: Conover, NC
O20190129002660 NC Part B Supplier - Mass Immunization (Roster Biller Only) 5193003986 Practice locations: Conover, NC

National Provider Directory

National Provider Directory
Tax ID family
Five Points Pharma2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1452643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1639535156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1467",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286031467",
            "telephone_number": "828-780-8510",
            "fax_number": "828-780-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 MAIN AVE SW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286022601",
            "telephone_number": "828-780-8510",
            "fax_number": "828-780-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE POINTS PHARMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-13",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "HINES",
        "authorized_official_title_or_position": "OWNER/ PIC",
        "authorized_official_telephone_number": "828-780-8510",
        "authorized_official_credential": "RPH"
    },
    "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": "12909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639535156",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2158134",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Village Long Term Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medical VillagePharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.