Organization Active NPI

Atlantic Initiatives LLC

Doing business as Port City Pharmacy

  • Community/Retail Pharmacy
  • Wilmington, NC
National Provider Identifier
1861148173
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ATLANTIC INITIATIVES LLC
Doing business as
Port City Pharmacy
Practice address
6756 Gordon Rd Ste 130
Wilmington, NC 28411-8440
Phone
(910) 444-3300
Fax
(910) 685-8137
NPI assigned
Feb 24, 2022
Last updated
Sep 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Authorized official

Name
Dr. Rishit Patel, PHARM.D.NPI 1891165205
Title
Pharmacy Manager
Phone
(910) 444-3300

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)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

6756 Gordon Rd Ste 130
Wilmington, NC 28411-8440

Mailing address

6756 Gordon Rd Ste 130
Wilmington, NC 28411-8440
Phone (910) 444-3300

Other names 1

  • PORT CITY PHARMACY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230920001451 NC Part B Supplier - Pharmacy 1658725940 Practice locations: Wilmington, NC

National Provider Directory

National Provider Directory

Locations

6756 Gordon Rd
Ste 130
Wilmington, NC 28411
Phone (910) 444-3300

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": "1645660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1861148173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6756 GORDON RD STE 130",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284118440",
            "telephone_number": "910-444-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6756 GORDON RD STE 130",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284118440",
            "telephone_number": "910-444-3300",
            "fax_number": "910-685-8137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC INITIATIVES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-24",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RISHIT",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "910-444-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PORT CITY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.