Active NPI
Oakhurst Health Investers Inc.
- Community/Retail Pharmacy
- Charlotte, NC
National Provider Identifier
1861957292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- OAKHURST HEALTH INVESTERS INC.
- Practice address
- 1630 Oakhurst Commons Dr
Unit 206
Charlotte, NC 28205 - Phone
- (980) 273-1810
- Fax
- (980) 273-1811
- NPI assigned
- Feb 11, 2019
- 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
- Gregory Cecil Deese, RPH
- Title
- President
- Phone
- (980) 273-1810
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 |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
1630 Oakhurst Commons Dr
Unit 206
Charlotte, NC 28205
Mailing address
1630 Oakhurst Commons Dr Ste 206
Charlotte, NC 28205-6382
Phone (980) 273-1810
Other names 1
- Oakhurst Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200701003487 | NC | Part B Supplier - Mass Immunization (Roster Biller Only) | 2668803545 | Practice locations: Charlotte, NC |
National Provider Directory
National Provider DirectoryLocations
1630 Oakhurst Commons Dr
Unit 6
Charlotte, NC 28205
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Indian Trail, NC
- NPI 1922366319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549843200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639958400000",
"number": "1861957292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1630 OAKHURST COMMONS DR STE 206",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282056382",
"telephone_number": "980-273-1810",
"fax_number": "980-273-1811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1630 OAKHURST COMMONS DR",
"address_2": "UNIT 206",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28205",
"telephone_number": "980-273-1810",
"fax_number": "980-273-1811"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OAKHURST HEALTH INVESTERS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-11",
"last_updated": "2021-12-20",
"certification_date": "2021-12-20",
"status": "A",
"authorized_official_last_name": "DEESE",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "CECIL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "980-273-1810",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Oakhurst Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Oakhurst Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.