Medexpress Pharmacy, LTD.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MEDEXPRESS PHARMACY, LTD.

Practice address

321 W 11TH St Ste a
Charlotte, NC 28202-0092

Phone

(704) 454-5450

Fax

(866) 470-1125

NPI assigned

Dec 17, 2020

Organization subpart

No

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

Authorized official

Name

Ashley Ellis

Title

Corporate Counsel

Phone

(803) 254-5884

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Medexpress Pharmacy, LTD.

  • Pharmacy
  • Salisbury, NC
  • NPI 1982709309

  O20241001002679

  Same enrollment

Tax ID family

Medexpress Pharmacy LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Medexpress Pharmacy, LTD.

  • Pharmacy
  • Salisbury, NC
  • NPI 1982709309
  NPD tax ID

Locations

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608163200000",
    "number": "1891381406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10604 COURSEY BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164015",
            "telephone_number": "225-236-1541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 W 11TH ST STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282020092",
            "telephone_number": "704-454-5450",
            "fax_number": "866-470-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEXPRESS PHARMACY, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-17",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "CORPORATE COUNSEL",
        "authorized_official_telephone_number": "803-254-5884"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorothea Francis Medearis
• Ava Elizabeth Medeiros
• Derek Medeiros, R.T, R.R.A, R.P.A
• Stewart Medeiros Jr.
• Medemporium, LLC
• Kimberly Ann Medhane, MD
• Medical Assessment Clinic
• Medical Associates of Rock Hill
• Medical Athletics LLC
• Medical Bariatrics, PC

• Community/Retail Pharmacy in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.