Active NPI
S & S Pharmacy Services, LLC
- Durable Medical Equipment & Medical Supplies
- Charlotte, NC
National Provider Identifier
1760651400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- S & S PHARMACY SERVICES, LLC
- Doing business as
- SeniorCare Pharmacy
- Practice address
- 4455 Morris Park Dr
Suite a
Charlotte, NC 28227-9207 - Phone
- (704) 545-8641
- Fax
- (704) 573-8344
- NPI assigned
- Feb 27, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Seth M Smith, RPH
- Title
- President
- Phone
- (704) 545-8641
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
4455 Morris Park Dr
Suite a
Charlotte, NC 28227-9207
Mailing address
4455 Morris Park Dr
Suite a
Charlotte, NC 28227-9207
Phone (704) 545-8641
Other names 1
- SeniorCare Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080509000384 | NC | Part B Supplier - Mass Immunization (Roster Biller Only) | 2062591415 | Practice locations: Mint Hill, NC |
National Provider Directory
National Provider DirectoryLocations
4455 Morris Park Dr
Ste A
Mint Hill, NC 28227
Phone (704) 545-8641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211932800000",
"number": "1760651400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4455 MORRIS PARK DR",
"address_2": "SUITE A",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282279207",
"telephone_number": "704-545-8641",
"fax_number": "704-573-8344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4455 MORRIS PARK DR",
"address_2": "SUITE A",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282279207",
"telephone_number": "704-545-8641",
"fax_number": "704-573-8344"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "S & S PHARMACY SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-27",
"last_updated": "2008-05-28",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "SETH",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "704-545-8641",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SeniorCare Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.