Active NPI
Pineville Pharmacy LTC
- Community/Retail Pharmacy
- Pineville, NC
National Provider Identifier
1922844273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- PINEVILLE PHARMACY LTC
- Practice address
- 311 S Polk St Ste 80
Pineville, NC 28134-8632 - Phone
- (704) 275-8791
- Fax
- (704) 666-8356
- NPI assigned
- Jul 6, 2024
- Organization subpart
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kishan P Patel
- Title
- Pharmacy Manager
- Phone
- (704) 275-8791
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
311 S Polk St Ste 80
Pineville, NC 28134-8632
Mailing address
311 S Polk St Ste 80
Pineville, NC 28134-8632
Phone (704) 275-8791
Other names 1
- Pineville Pharmacy LTC
National Provider Directory
National Provider Directory- Part of
- Pineville Pharmacy
Locations
311 S Polk St
Ste 80
Pineville, NC 28134
Phone (704) 275-8791
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Charlotte, NC
- NPI 1558794289
-
- Pharmacist
- Pineville, NC
- NPI 1689242604
-
- Pharmacist
- Pineville, NC
- NPI 1811544794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720224000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723075200000",
"number": "1922844273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 S POLK ST STE 80",
"city": "PINEVILLE",
"state": "NC",
"postal_code": "281348632",
"telephone_number": "704-275-8791",
"fax_number": "704-666-8356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 S POLK ST STE 80",
"city": "PINEVILLE",
"state": "NC",
"postal_code": "281348632",
"telephone_number": "704-275-8791",
"fax_number": "704-666-8356"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINEVILLE PHARMACY LTC",
"organizational_subpart": "YES",
"enumeration_date": "2024-07-06",
"last_updated": "2024-08-08",
"certification_date": "2024-08-08",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "KISHAN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PHARMACY MANAGER",
"authorized_official_telephone_number": "704-275-8791"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pineville Pharmacy LTC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Pineville Pharmacy LTC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Pineville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.