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

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Josefs Pharmacy LLC (3 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1316240435MedicaidNC

Other names

  • Josefs LTC Pharmacy Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 12, 2020.

{
    "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

All providers in Raleigh, NC · Long Term Care Pharmacy in North Carolina

Sources for this page

Verify at the official NPI Registry.