Queen City Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

QUEEN CITY PHARMACY LLC

Practice address

4123 Rose Lake Dr Ste E&F
Charlotte, NC 28217-2881

Phone

(650) 353-5495

NPI assigned

Jun 17, 2021

Last updated

Jun 17, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mohammad Afridi

Title

Officer

Phone

(650) 353-5495

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623888000000",
    "number": "1801465539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4123 ROSE LAKE DR STE E&F",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282172881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4123 ROSE LAKE DR STE E&F",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282172881",
            "telephone_number": "650-353-5495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN CITY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "AFRIDI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "650-353-5495"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Queen City Gastroenterology & Hepatology, PC
• Queen City Home Care LLC
• Queen City Laboratory Services, PLLC
• Queen City Labs, LLC
• Queen City Pelvic PT
• Queen City Plastic Surgery PLLC
• Queen City Psychotherapy PLLC
• Queen City Rehab and Sports Performance, LLC
• Queen City Speech
• Queen City Therapy, PLLC (Little Wonders 123)

• Community/Retail Pharmacy in Charlotte, NC
• Providers in Charlotte, 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 17, 2021; 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.