Active NPI
Karen Hendricks, RPH
- Pharmacist
- Mooresville, NC
National Provider Identifier
1861784019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14313
- Practice address
- 118 Argus LN
Mooresville, NC 28117-6977 - Phone
- (704) 799-2267
- Fax
- (704) 663-1378
- NPI assigned
- May 6, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14313 | NC | Primary |
| Pharmacist | 183500000X | 5305410824 | MI | |
| Pharmacist | 183500000X | 13250 | SC |
Addresses
Primary practice location
118 Argus LN
Mooresville, NC 28117-6977
Mailing address
13504 Ardry End LN
Huntersville, NC 28078-5255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5305410824 | MI | MD | Pharmacist |
| 14313 | NC | MD | Pharmacist |
| 13250 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harris Teeter LLC | Past | Accepting new patients | |
| Harris Teeter, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Apex, NC
- NPI 1225856859
-
- Community/Retail Pharmacy
- Mooresville, NC
- NPI 1942400171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304640000000",
"number": "1861784019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13504 ARDRY END LN",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280785255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 ARGUS LN",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281176977",
"telephone_number": "704-799-2267",
"fax_number": "704-663-1378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRICKS",
"first_name": "KAREN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-06",
"last_updated": "2011-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "14313",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5305410824",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "13250",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.