Organization Active NPI

Rxcp4, Inc

Doing business as Avant Pharmacy and Wellness

  • Clinic Pharmacy
  • Dallas, NC
National Provider Identifier
1689398539
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
RXCP4, INC
Doing business as
Avant Pharmacy and Wellness
Practice address
824 Lower Dallas Hwy
Dallas, NC 28034-9368
Phone
(704) 537-0909
NPI assigned
Oct 3, 2022
Last updated
Apr 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Authorized official

Name
Dr. Amina Abubakar, PHARMDNPI 1518086586
Title
Owner
Phone
(215) 840-5510

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X NU Primary

Addresses

Primary practice location

824 Lower Dallas Hwy
Dallas, NC 28034-9368

Mailing address

9835 Monroe Rd
Charlotte, NC 28270-1471
Phone (980) 448-7272

Other names 1

  • Avant Pharmacy and Wellness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240405002540 NC Part B Supplier - Pharmacy 6103264338 Practice locations: Dallas, NC

National Provider Directory

National Provider Directory

Locations

824 Lower Dallas Hwy
Dallas, NC 28034
Phone (704) 208-4134

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": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681430400000",
    "number": "1689398539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9835 MONROE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282701471",
            "telephone_number": "980-448-7272",
            "fax_number": "980-677-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 LOWER DALLAS HWY",
            "city": "DALLAS",
            "state": "NC",
            "postal_code": "280349368",
            "telephone_number": "704-537-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RXCP4, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-03",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A",
        "authorized_official_last_name": "ABUBAKAR",
        "authorized_official_first_name": "AMINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-840-5510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avant Pharmacy and Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Avant Pharmacy and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; 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.