Josefs Pharmacy LLC
Organization Active NPI Long Term Care Pharmacy · Raleigh, NC
NPI 1700384237 · NPPES record last updated Nov 12, 2020
Key facts
- NPI
- 1700384237
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Long Term Care Pharmacy 3336L0003X
- Legal business name
- JOSEFS PHARMACY LLC
- Practice address
- 2100 New Bern Ave
Raleigh, NC 27610-2431 - Phone
- (919) 610-8975
- NPI assigned
- Jan 30, 2018
- Organization subpart
- No
Authorized official
- Name
- Finny Joseph
- Title
- Member/Manager
- Phone
- (919) 212-2555
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Josefs Pharmacy LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Yes |
Addresses
Primary practice location
2100 New Bern Ave
Raleigh, NC 27610-2431
Mailing address
2100 New Bern Ave
Raleigh, NC 27610-2431
Phone (919) 610-8975
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316240435 | Medicaid | NC |
Other names
- Josefs LTC Pharmacy
NPI Registry JSON
{
"created_epoch": "1517270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1605139200000",
"number": "1700384237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 NEW BERN AVE",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276102431",
"telephone_number": "919-610-8975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 NEW BERN AVE",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276102431",
"telephone_number": "919-610-8975"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSEFS PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-30",
"last_updated": "2020-11-12",
"certification_date": "2020-11-12",
"status": "A",
"authorized_official_last_name": "JOSEPH",
"authorized_official_first_name": "FINNY",
"authorized_official_title_or_position": "MEMBER/MANAGER",
"authorized_official_telephone_number": "919-212-2555"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1316240435",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Josefs LTC Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Raleigh, NC
- Rachel Marie Jordan
- Robyn Jordan
- Timothy D Jordan
- Rebecca Jorgenson
- Josefs Pharmacy LLC
- Joseph J. Leinwand
- Briana Joseph
- Evansie Joseph
- Finny Joseph
- Ghilene Joseph
All providers in Raleigh, NC · Long Term Care Pharmacy in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.