Active NPI
Innovative Meds RX
- Long Term Care Pharmacy
- Mount Airy, NC
National Provider Identifier
1831937101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- INNOVATIVE MEDS RX
- Practice address
- 364 N South St
Mount Airy, NC 27030-3532 - Phone
- (336) 789-5050
- Fax
- (336) 786-7169
- NPI assigned
- Jul 19, 2024
- 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
- Neil Lucas Edlen, PHARMD
- Title
- Vice-President
- Phone
- (850) 776-3804
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
364 N South St
Mount Airy, NC 27030-3532
Mailing address
364 N South St
Mount Airy, NC 27030-3532
Phone (336) 789-5050
Other names 1
- Gates Pharmacy LTC
National Provider Directory
National Provider Directory- Tax ID family
- Gates Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Mount Airy, NC
- NPI 1700154366
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Mount Airy, NC
- NPI 1598066466
-
- Pharmacist
- Mt. Airy, NC
- NPI 1457648131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721347200000",
"number": "1831937101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "364 N SOUTH ST",
"city": "MOUNT AIRY",
"state": "NC",
"postal_code": "270303532",
"telephone_number": "336-789-5050",
"fax_number": "336-786-7169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "364 N SOUTH ST",
"city": "MOUNT AIRY",
"state": "NC",
"postal_code": "270303532",
"telephone_number": "336-789-5050",
"fax_number": "336-786-7169"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INNOVATIVE MEDS RX",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-19",
"last_updated": "2024-07-19",
"certification_date": "2024-07-19",
"status": "A",
"authorized_official_last_name": "EDLEN",
"authorized_official_first_name": "NEIL",
"authorized_official_middle_name": "LUCAS",
"authorized_official_title_or_position": "VICE-PRESIDENT",
"authorized_official_telephone_number": "850-776-3804",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Gates Pharmacy LTC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Mount Airy, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.