Organization Active NPI

Triangle Home Infusions LLC

Doing business as North State Pharmacy

  • Community/Retail Pharmacy
  • Raleigh, NC
National Provider Identifier
1881001311
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
12131 Issued in NC
Legal business name
TRIANGLE HOME INFUSIONS LLC
Doing business as
North State Pharmacy
Practice address
3434 Edwards Mill Rd Ste 100
Raleigh, NC 27612-4276
Phone
(984) 444-6135
Fax
(984) 204-1113
NPI assigned
Jul 16, 2014
Last updated
Feb 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Authorized official

Name
Vipul Patel
Title
President
Phone
(919) 307-8460

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 12131 NC Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

3434 Edwards Mill Rd Ste 100
Raleigh, NC 27612-4276

Mailing address

3434 Edwards Mill Rd Ste 100
Raleigh, NC 27612-4276
Phone (984) 444-6135

Other identifiers 2

IdentifierTypeStateIssuer
1881001311MedicaidNC
2148835OtherPK

Other names 1

  • North State Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

3434 Edwards Mill Rd
Ste 100
Raleigh, NC 27612
Phone (984) 444-6135

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582502400000",
    "number": "1881001311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 EDWARDS MILL RD STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276124276",
            "telephone_number": "984-444-6135",
            "fax_number": "984-204-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 EDWARDS MILL RD STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276124276",
            "telephone_number": "984-444-6135",
            "fax_number": "984-204-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIANGLE HOME INFUSIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-16",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VIPUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-307-8460"
    },
    "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": "12131",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881001311",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2148835",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North State Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.