Organization Active NPI

Piedmont Pharmacy Solutions, Inc

  • Compounding Pharmacy
  • Charlotte, NC
National Provider Identifier
1649515362
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
10488 Issued in NC
Legal business name
PIEDMONT PHARMACY SOLUTIONS, INC
Doing business as
Piedmont Pharmacy Nations Ford
Practice address
9040 Nations Ford Rd
Charlotte, NC 28273-5716
Phone
(704) 971-9880
Fax
(704) 971-9881
NPI assigned
Dec 6, 2012
Organization subpart
Yes
Parent organization
PIEDMONT PHARMACY SOLUTIONS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

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

Authorized official

Name
Mr. Sony A Obuseh
Title
President
Phone
(704) 971-9880

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X 10488 NC
Compounding Pharmacy 3336C0004X 10488 NC Primary

Addresses

Primary practice location

9040 Nations Ford Rd
Charlotte, NC 28273-5716

Mailing address

PO Box 78317
Charlotte, NC 28271-7030
Phone (704) 971-9880

Other identifiers 1

IdentifierTypeStateIssuer
0602494MedicaidNC

Other names 1

  • Piedmont Pharmacy Nations Ford Doing business as

National Provider Directory

National Provider Directory
Part of
Piedmont Pharmacy Solutions Inc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354752000000",
    "number": "1649515362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 78317",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282717030",
            "telephone_number": "704-971-9880",
            "fax_number": "704-971-9881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 NATIONS FORD RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282735716",
            "telephone_number": "704-971-9880",
            "fax_number": "704-971-9881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT PHARMACY SOLUTIONS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PIEDMONT PHARMACY SOLUTIONS, INC",
        "enumeration_date": "2012-12-06",
        "last_updated": "2012-12-06",
        "status": "A",
        "authorized_official_last_name": "OBUSEH",
        "authorized_official_first_name": "SONY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-971-9880",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NC",
            "license": "10488",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NC",
            "license": "10488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0602494",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Piedmont Pharmacy Nations Ford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.