Concord Pharmacy and Surgical Supply

Primary specialty

PharmacyTaxonomy code 333600000X

License

13082 Issued in NC

Legal business name

CONCORD PHARMACY AND SURGICAL SUPPLY

Practice address

3497 US Highway 601 S
Concord, NC 28025-0490

Phone

(215) 380-8723

NPI assigned

Oct 19, 2016

Last updated

Oct 23, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anagha KhotNPI 1336693209

Title

Pharmacy Manager

Phone

(215) 380-8723

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

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.

• Anagha Khot

  • Pharmacist
  • Charlotte, NC
  • NPI 1336693209
  NPD Authorized official

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477180800000",
    "number": "1922559400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3497 US HIGHWAY 601 S",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280250490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3497 US HIGHWAY 601 S",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280250490",
            "telephone_number": "215-380-8723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORD PHARMACY AND SURGICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-23",
        "status": "A",
        "authorized_official_last_name": "KHOT",
        "authorized_official_first_name": "ANAGHA",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "215-380-8723"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NC",
            "license": "13082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Concord Health Care LP (The Country Home)
• Concord House LLC (Concord House)
• Concord Medical Clinic, Inc.
• Concord Medical Transportation Services
• Concord Operator LLC (Cabarrus Health and Rehabilitation Center)
• Concord Place
• Concord Specialty Pharmacy
• Concord Women's Specialty Care, Inc. (Concord Women's Specialty Care)
• Concord Women's Specialty Center
• Lauren Conder, PHD

• Pharmacy in Concord, NC
• Providers in Concord, NC by specialty
• Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2016; 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.