Organization Active NPI

RX Central, Inc.

Doing business as Medicine Shoppe

  • Community/Retail Pharmacy
  • Concord, NC
National Provider Identifier
1912231309
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
RX CENTRAL, INC.
Doing business as
Medicine Shoppe
Practice address
807 Davidson Dr NW
Concord, NC 28025-4351
Phone
(704) 786-0135
Fax
(704) 786-1018
NPI assigned
Oct 1, 2009
Last updated
Sep 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Authorized official

Name
Mr. Long V DO
Title
President
Phone
(704) 524-3214

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

807 Davidson Dr NW
Concord, NC 28025-4351

Mailing address

807 Davidson Dr NW
Concord, NC 28025-4351
Phone (704) 786-0135

Other identifiers 1

IdentifierTypeStateIssuer
0136069MedicaidNC

Other names 1

  • Medicine Shoppe Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100914000872 NC Part B Supplier - Mass Immunization (Roster Biller Only) 5294850269 Practice locations: Concord, NC
O20100930084348 NC DME Supplier - Pharmacy 5294850269 Practice locations: Concord, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
RX Central, Inc.807 Davidson Dr NW, Concord, NC 28025-4351(704) 786-0135 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Ostomy Supplies|Urological Supplies Does not accept assignmentParticipating since Nov 30, 2009

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1912231309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 DAVIDSON DR NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254351",
            "telephone_number": "704-786-0135",
            "fax_number": "704-786-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 DAVIDSON DR NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254351",
            "telephone_number": "704-786-0135",
            "fax_number": "704-786-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RX CENTRAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-01",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "LONG",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-524-3214",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0136069",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.