Organization Active NPI

LL Han, LLC

  • Customized Equipment (DME)
  • Charlotte, NC
National Provider Identifier
1972956167
Registry record updated Jul 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
1396128203 Issued in NC
Legal business name
LL HAN, LLC
Practice address
2334 South Blvd
Charlotte, NC 28203-5008
Phone
(704) 523-8608
Fax
(704) 523-8619
NPI assigned
Jul 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2016

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

Authorized official

Name
Dr. Chris Han, PHARMD
Title
Pharmacist Owner
Phone
(704) 523-8608

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 1396128203 NC Primary

Addresses

Primary practice location

2334 South Blvd
Charlotte, NC 28203-5008

Mailing address

2334 South Blvd
Charlotte, NC 28203-5008
Phone (704) 523-8608

Other identifiers 1

IdentifierTypeStateIssuer
1396128203MedicaidNC

Other names 1

  • Cannon Pharmacy Sedgefield Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cannon Pharmacy Sedgefield2 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.

NPI Registry JSON

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

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469145600000",
    "number": "1972956167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2334 SOUTH BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035008",
            "telephone_number": "704-523-8608",
            "fax_number": "704-523-8619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2334 SOUTH BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035008",
            "telephone_number": "704-523-8608",
            "fax_number": "704-523-8619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LL HAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-22",
        "last_updated": "2016-07-22",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "704-523-8608",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NC",
            "license": "1396128203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396128203",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cannon Pharmacy Sedgefield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.