Organization Active NPI

Thomasville Family Pharmacy LLC

  • Community/Retail Pharmacy
  • Thomasville, NC
National Provider Identifier
1740538545
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
11353 Issued in NC
Legal business name
THOMASVILLE FAMILY PHARMACY LLC
Practice address
1116 Lexington Ave
Thomasville, NC 27360-3415
Phone
(336) 853-2744
NPI assigned
Aug 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Authorized official

Name
Russell Patterson
Title
President
Phone
(336) 817-6794

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 11353 NC Primary

Addresses

Primary practice location

1116 Lexington Ave
Thomasville, NC 27360-3415

Mailing address

1107 W Market Center Dr
High Point, NC 27260-1642
Phone (336) 817-6794

Other identifiers 2

IdentifierTypeStateIssuer
1740538545MedicaidNC
3460425OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Thomasville Family Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141231002036 NC Part B Supplier - Mass Immunization (Roster Biller Only) 1557684354 Practice locations: Thomasville, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2157234Thomasville Family Pharmacy, LLC1116 Lexington Avenue, Thomasville, NC 27360Certificate of waiverNov 1, 2026

National Provider Directory

National Provider Directory

Locations

1116 Lexington Ave
Thomasville, NC 27360
Phone (336) 313-6143

NPI Registry JSON

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781740800000",
    "number": "1740538545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 W MARKET CENTER DR",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272601642",
            "telephone_number": "336-817-6794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 LEXINGTON AVE",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273603415",
            "telephone_number": "336-853-2744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMASVILLE FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-27",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-817-6794"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "11353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740538545",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3460425",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thomasville Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Thomasville Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thomasville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.