NPIMap

Organization Active NPI

Moduwell, LLC

Doing business as Cary Endocrine Pharmacy

  • Community/Retail Pharmacy
  • Cary, NC
National Provider Identifier
1922872043
Registry record updated Dec 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MODUWELL, LLC
Doing business as
Cary Endocrine Pharmacy
Practice address
6750 Tryon Rd
Cary, NC 27518-7056
Phone
(919) 297-2420
Fax
(919) 323-3199
NPI assigned
Nov 9, 2023
Last updated
Dec 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2023

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

Authorized official

Name
Mr. James Changyook Lee, PHARM.DNPI 1922300102
Title
Owner
Phone
(919) 297-2420

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)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

6750 Tryon Rd
Cary, NC 27518-7056

Mailing address

6750 Tryon Rd
Cary, NC 27518-7056
Phone (919) 297-2420

Other names 1

  • Cary Endocrine Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241205000747 NC Part B Supplier - Mass Immunization (Roster Biller Only) 5193251833 Practice locations: Cary, NC

National Provider Directory

National Provider Directory

Locations

6750 Tryon Rd
Cary, NC 27518
Phone (919) 297-2420

Practitioners & affiliated clinicians

Practitioners 8

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": "1699488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701561600000",
    "number": "1922872043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 TRYON RD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187056",
            "telephone_number": "919-297-2420",
            "fax_number": "919-323-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 TRYON RD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187056",
            "telephone_number": "919-297-2420",
            "fax_number": "919-323-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODUWELL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-12-03",
        "certification_date": "2023-12-03",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CHANGYOOK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-297-2420",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cary Endocrine Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.