Health First Pharmacy of Wake Forest LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0887912/31/2016 Issued in NC

Legal business name

HEALTH FIRST PHARMACY OF WAKE FOREST LLC

Doing business as

HealthSmart Pharmacy

Practice address

2001 S Main St
Wake Forest, NC 27587-1649

Phone

(919) 569-0500

Fax

(919) 556-4288

NPI assigned

Nov 29, 2006

Last updated

Sep 27, 2017By 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

Mrs. Lynn HoltNPI 1447409859

Title

Owner

Phone

(919) 569-0500

Specialties & licenses 4

Addresses

Other identifiers 3

Other names 1

• HealthSmart Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Healthfirst Pharmacy of Wake Forest,LLC

  dba healthfirst pharmacy

  • Pharmacy
  • Wake Forest, NC
  • NPI 1285883207

  6901856145

  Same PAC ID

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

Tax ID family

Health First Pharmacy of Wake Forest LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Healthfirst Pharmacy of Wake Forest,LLC

  dba healthfirst pharmacy

  • Pharmacy
  • Wake Forest, NC
  • NPI 1285883207
  NPD tax ID

Member of 1

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

• BW II LLC

  dba HealthSmart Pharmacy

  • Community/Retail Pharmacy
  • Clayton, NC
  • NPI 1801968698

  Member Of

  NPD member

Member organizations 1

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

• BW II LLC

  dba HealthSmart Pharmacy

  • Community/Retail Pharmacy
  • Clayton, NC
  • NPI 1801968698

  Member Of

  NPD member

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.

• Lynn Holt, RPH

  • Pharmacist
  • Wake Forest, NC
  • NPI 1447409859
  NPD Authorized official

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506470400000",
    "number": "1942377668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S MAIN ST",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275871649",
            "telephone_number": "919-569-0500",
            "fax_number": "919-556-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S MAIN ST",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275871649",
            "telephone_number": "919-569-0500",
            "fax_number": "919-556-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH FIRST PHARMACY OF WAKE FOREST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2017-09-27",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-569-0500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "0887912/31/2016",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0920745",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2067558",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704226",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthSmart Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Reza John Hatefi, PAC
• Megan M Haverkamp, NP
• Sydney Hayden, LPA
• Taylor Carl Hayden, LPCA
• Headway ABA LLC
• Healthfirst Pharmacy of Wake Forest,LLC (healthfirst pharmacy)
• Heartbeat RT-LLC (Heartbeat RT)
• Taylor Heath
• April Marie Hedrick
• Tammy Heery

• Community/Retail Pharmacy in Wake Forest, NC
• Providers in Wake Forest, 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 Sep 27, 2017; 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.