Falls River Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

9162 Issued in NC

Legal business name

FALLS RIVER PHARMACY, LLC

Practice address

10930 Raven Ridge Rd
Suite 109
Raleigh, NC 27614-8725

Phone

(919) 844-2055

Fax

(919) 844-2054

NPI assigned

May 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Romas T. White III, RPH

Title

Member-Manager

Phone

(919) 835-0457

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Hardy-White Pharmacies, Inc.

  • Community/Retail Pharmacy
  • Lincolnton, NC
  • NPI 1942257662

  Member Of

  NPD member

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Hardy-White Pharmacies, Inc.

  • Community/Retail Pharmacy
  • Lincolnton, NC
  • NPI 1942257662

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374796800000",
    "number": "1942257654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10930 RAVEN RIDGE RD",
            "address_2": "SUITE 109",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276148725",
            "telephone_number": "919-844-2055",
            "fax_number": "919-844-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10930 RAVEN RIDGE RD",
            "address_2": "SUITE 109",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276148725",
            "telephone_number": "919-844-2055",
            "fax_number": "919-844-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALLS RIVER PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2013-07-26",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "ROMAS",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "MEMBER-MANAGER",
        "authorized_official_telephone_number": "919-835-0457",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "9162",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "9162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704396",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0920845",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "3434987",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2013; 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.