Organization Active NPI

Health Innovations Pharmacy of Laurinburg Inc

Doing business as Health Innovations Pharmacy of Laurinburg

  • Community/Retail Pharmacy
  • Laurinburg, NC
National Provider Identifier
1639565989
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
12552 Issued in NC
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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

Authorized official

Name
Douglas Yongue, BSPHARNPI 1922016229
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1639565989MedicaidNC
2151284OtherPK

Other names 1

  • Health Innovations Pharmacy of Laurinburg Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210105000644 NC Part B Supplier - Pharmacy 4385954734 Practice locations: Laurinburg, NC

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.