Active NPI
Ricetta RX North Carolina, LLC.
- Long Term Care Pharmacy
- Kernersville, NC
National Provider Identifier
1902084700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0347380 | Medicaid | NC |
Other names 1
- Southern Pharmacy Services Winston-Salem
National Provider Directory
National Provider DirectoryLocations
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.