Rxcarolina

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

11275 Issued in NC

Legal business name

RXCAROLINA

Practice address

5710 W Gate City Blvd
Z
Greensboro, NC 27407-7061

Phone

(336) 632-4141

Fax

(336) 632-4135

NPI assigned

Jul 4, 2012

Organization subpart

No

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

Authorized official

Name

Syam Bandi

Title

Pharmacy Manager

Phone

(336) 632-4141

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Adams Farm Pharmacy Doing business as

Tax ID family

Adams Farm Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Rxcarolina

  • Pharmacy
  • Greensboro, NC
  • NPI 1043040835
  NPD tax ID

Locations

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

{
    "created_epoch": "1341360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1740545888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 W GATE CITY BLVD",
            "address_2": "Z",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274077061",
            "telephone_number": "336-632-4141",
            "fax_number": "336-632-4135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 W GATE CITY BLVD",
            "address_2": "Z",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274077061",
            "telephone_number": "336-632-4141",
            "fax_number": "336-632-4135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RXCAROLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-04",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "BANDI",
        "authorized_official_first_name": "SYAM",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "336-632-4141"
    },
    "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": "11275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0418664",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2135896",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adams Farm Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark William Russo, MD
• Mickela Rutledge, LPCA
• Shelly Rutledge, LAT, ATC
• Katie Kersey Rwechungura, LCMHC-A, NCC
• Rxcarolina
• Ryan C Kraska, DDS PLLC
• Ryan Hinckley, DDS, Ms, PLLC
• S & L Home Care Services, Inc
• S & L Home Care Services, Inc
• S & L Home Care Services, Inc.

• Community/Retail Pharmacy in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.