Organization Active NPI

Health Park Pharmacy LLC

Doing business as Health Park Pharmacy LTC

  • Long Term Care Pharmacy
  • Raleigh, NC
National Provider Identifier
1750923678
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
HEALTH PARK PHARMACY LLC
Doing business as
Health Park Pharmacy LTC
Practice address
8300 Health Park Ste 227
Raleigh, NC 27615-4731
Phone
(919) 847-7645
Fax
(919) 847-7641
NPI assigned
Oct 11, 2019
Last updated
Oct 11, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
HEALTH PARK PHARMACY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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

Authorized official

Name
Dr. Steven Adkins II, PHARM.D., R.PHNPI 1508809211
Title
Pharmacy Manager/Owner
Phone
(919) 847-7645

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

8300 Health Park Ste 227
Raleigh, NC 27615-4731

Mailing address

8300 Health Park Ste 227
Raleigh, NC 27615-4731
Phone (919) 847-7645

Other identifiers 1

IdentifierTypeStateIssuer
0920708MedicaidNC

Other names 1

  • Health Park Pharmacy LTC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Health Park Pharmacy LLC3 organizations share this tax ID, including this one
Part of
Health Park Pharmacy LLC

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1570752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570752000000",
    "number": "1750923678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 HEALTH PARK STE 227",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154731",
            "telephone_number": "919-847-7645",
            "fax_number": "919-847-7641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 HEALTH PARK STE 227",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154731",
            "telephone_number": "919-847-7645",
            "fax_number": "919-847-7641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH PARK PHARMACY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTH PARK PHARMACY LLC",
        "enumeration_date": "2019-10-11",
        "last_updated": "2019-10-11",
        "status": "A",
        "authorized_official_last_name": "ADKINS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PHARMACY MANAGER/OWNER",
        "authorized_official_telephone_number": "919-847-7645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "PHARM.D., R.PH"
    },
    "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": "0920708",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Park Pharmacy LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.