Active NPI
Health Innovations Pharmacy of Laurinburg Inc
Doing business as Health Innovations Pharmacy of Laurinburg
- Community/Retail Pharmacy
- Laurinburg, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 12552
- Legal business name
- HEALTH INNOVATIONS PHARMACY OF LAURINBURG INC
- Doing business as
- Health Innovations Pharmacy of Laurinburg
- Practice address
- 901 S Main St
Laurinburg, NC 28352-4736 - Phone
- (910) 361-4731
- Fax
- (910) 361-4732
- NPI assigned
- Apr 14, 2015
- Last updated
- Mar 14, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Douglas Yongue, BSPHAR
- Title
- Pharmacy Manager
- Phone
- (910) 361-4731
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 12552 | NC | Primary |
Addresses
Primary practice location
901 S Main St
Laurinburg, NC 28352-4736
Mailing address
901 S Main St
Laurinburg, NC 28352-4736
Phone (910) 361-4731
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639565989 | Medicaid | NC | |
| 2151284 | Other | PK |
Other names 1
- Health Innovations Pharmacy of Laurinburg
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210105000644 | NC | Part B Supplier - Pharmacy | 4385954734 | Practice locations: Laurinburg, NC |
National Provider Directory
National Provider DirectoryLocations
901 S Main St
Laurinburg, NC 28352
Phone (910) 361-4731
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Pharmacist
- Laurinburg, NC
- NPI 1922016229
-
- Pharmacist
- Southern Pines, NC
- NPI 1124420260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428969600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1489449600000",
"number": "1639565989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 S MAIN ST",
"city": "LAURINBURG",
"state": "NC",
"postal_code": "283524736",
"telephone_number": "910-361-4731",
"fax_number": "910-361-4732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 S MAIN ST",
"city": "LAURINBURG",
"state": "NC",
"postal_code": "283524736",
"telephone_number": "910-361-4731",
"fax_number": "910-361-4732"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH INNOVATIONS PHARMACY OF LAURINBURG INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-14",
"last_updated": "2017-03-14",
"status": "A",
"authorized_official_last_name": "YONGUE",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_title_or_position": "PHARMACY MANAGER",
"authorized_official_telephone_number": "910-361-4731",
"authorized_official_credential": "BSPHAR"
},
"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": "12552",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1639565989",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2151284",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Health Innovations Pharmacy of Laurinburg",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Laurinburg, NC
- Carol Hayes, P.A.-C
- Michealle Ann Haynes, PA-C
- Lindsay Brock Haywood, LCSW
- Healing Hands Personal Care Services LLC
- Health Innovations of Laurinburg, Inc. (Health Innovations Pharmacy of Laurinburg)
- Heavens Anointed Touch Home Care LLC
- Lori Heim, MD
- Ernest Little Helms III, M.D.
- Aurora Nia Yamanie Hemraj, DO
- Carla Johnson Herring, BS PHARM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.