NPIMap

Organization Active NPI

Cold Mountain Pharmacy Services

Doing business as Long-Term Care of HealthRidge Pharmacy

  • Long Term Care Pharmacy
  • Black Mountain, NC
National Provider Identifier
1639877319
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
COLD MOUNTAIN PHARMACY SERVICES
Doing business as
Long-Term Care of HealthRidge Pharmacy
Practice address
3130 US 70 Hwy
Black Mountain, NC 28711-9108
Phone
(828) 669-9970
Fax
(828) 669-9980
NPI assigned
Feb 21, 2023
Last updated
Feb 21, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
COLD MOUNTAIN PHARMACY SERVICES L.L.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Authorized official

Name
Taylor C JonesNPI 1275966129
Title
Manager/Member
Phone
(828) 669-9970

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

3130 US 70 Hwy
Black Mountain, NC 28711-9108

Mailing address

3130 US 70 Hwy
Black Mountain, NC 28711-9108
Phone (828) 669-9970

Other identifiers 1

IdentifierTypeStateIssuer
1487292967MedicaidNC

Other names 1

  • Long-Term Care of HealthRidge Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cold Mountain Pharmacy Services LLC3 organizations share this tax ID, including this one
Part of
Cold Mountain Pharmacy Services LLC

Other organizations with this tax ID 2

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": "1676937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1639877319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 US 70 HWY",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287119108",
            "telephone_number": "828-669-9970",
            "fax_number": "828-669-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 US 70 HWY",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287119108",
            "telephone_number": "828-669-9970",
            "fax_number": "828-669-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLD MOUNTAIN PHARMACY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLD MOUNTAIN PHARMACY SERVICES L.L.C.",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGER/MEMBER",
        "authorized_official_telephone_number": "828-669-9970"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487292967",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Long-Term Care of HealthRidge Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Black Mountain, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.