NPIMap

Organization Active NPI

Cabarrus County Community Free Clinic Pharmacy

Doing business as The Community Free Clinic

  • Community/Retail Pharmacy
  • Concord, NC
National Provider Identifier
1851651434
Registry record updated May 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
05619 Issued in NC
Legal business name
CABARRUS COUNTY COMMUNITY FREE CLINIC PHARMACY
Doing business as
The Community Free Clinic
Practice address
528A Lake Concord Rd NE
Concord, NC 28025-2926
Phone
(704) 782-0650
Fax
(704) 721-6494
NPI assigned
May 17, 2012
Last updated
May 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2012

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

Authorized official

Name
Juliann Emery
Title
Pharmacy Manager
Phone
(704) 782-0650

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 05619 NC Primary

Addresses

Primary practice location

528A Lake Concord Rd NE
Concord, NC 28025-2926

Mailing address

528A Lake Concord Rd NE
Concord, NC 28025-2926
Phone (704) 782-0650

Other identifiers 1

IdentifierTypeStateIssuer
3460019OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • The Community Free Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

528A Lake Concord Rd NE
Concord, NC 28025
Phone (704) 712-1997

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": "1337212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337212800000",
    "number": "1851651434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528A LAKE CONCORD RD NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252926",
            "telephone_number": "704-782-0650",
            "fax_number": "704-721-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528A LAKE CONCORD RD NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252926",
            "telephone_number": "704-782-0650",
            "fax_number": "704-721-6494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CABARRUS COUNTY COMMUNITY FREE CLINIC PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-17",
        "last_updated": "2012-05-17",
        "status": "A",
        "authorized_official_last_name": "EMERY",
        "authorized_official_first_name": "JULIANN",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "704-782-0650"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "05619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3460019",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Community Free Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; 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.