Organization Active NPI

S & S Pharmacy Services, LLC

  • Durable Medical Equipment & Medical Supplies
  • Charlotte, NC
National Provider Identifier
1760651400
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on May 28, 2008

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080509000384 NC Part B Supplier - Mass Immunization (Roster Biller Only) 2062591415 Practice locations: Mint Hill, NC

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.