Organization Active NPI

Ricetta RX North Carolina, LLC.

  • Long Term Care Pharmacy
  • Kernersville, NC
National Provider Identifier
1902084700
Registry record updated Aug 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
RICETTA RX NORTH CAROLINA, LLC.
Practice address
556 Arbor Hill Rd
Suite J
Kernersville, NC 27284-3375
Phone
(866) 768-8479
Fax
(866) 928-3983
NPI assigned
Feb 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2010

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

Authorized official

Name
Mr. Joel Howard Noped, PHARMD
Title
Pharmacy Manager
Phone
(336) 577-3971

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

556 Arbor Hill Rd
Suite J
Kernersville, NC 27284-3375

Mailing address

556 Arbor Hill Rd
Suite J
Kernersville, NC 27284-3375
Phone (866) 768-8479

Other identifiers 1

IdentifierTypeStateIssuer
0347380MedicaidNC

Other names 1

  • Southern Pharmacy Services Winston-Salem Doing business as

National Provider Directory

National Provider Directory

Locations

556 Arbor Hill Rd
Ste J
Kernersville, NC 27284
Phone (866) 768-8479

NPI Registry JSON

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281657600000",
    "number": "1902084700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 ARBOR HILL RD",
            "address_2": "SUITE J",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272843375",
            "telephone_number": "866-768-8479",
            "fax_number": "866-928-3983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 ARBOR HILL RD",
            "address_2": "SUITE J",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272843375",
            "telephone_number": "866-768-8479",
            "fax_number": "866-928-3983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICETTA RX NORTH CAROLINA, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2010-08-13",
        "status": "A",
        "authorized_official_last_name": "NOPED",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "336-577-3971",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0347380",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Pharmacy Services Winston-Salem",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kernersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; 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.