PROHEALTH PHARMACY INC (NPI# 1124396593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124396593 |
| Entity Type | Organization |
| Organization Name | PROHEALTH PHARMACY INC |
| Other Organization Name | PROHEALTH PHARMACY |
| Practice Address |
280 N Pointe Blvd Mount Airy NC 27030-2267 |
| Practice Telephone | 3367196010 |
| Practice Fax Number | 3367196011 |
| Mailing Telephone | 3367196010 |
| Mailing Fax Number | 3367196011 |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2015-01-12 |
| Authorized Official Name | DONALD GARDNER (OWNER) |
| Authorized Official Telephone | 3367196006 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
11144 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2133083 | 01 |
| Other Name | Type Code |
|---|---|
| ProHealth Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831296763 | Prohealth Pharmacy Inc | Pharmacy | 385 2nd Ave, New York, NY 10010-4617 | 2006-09-20 |
| Street Address |
280 N POINTE BLVD |
| City | MOUNT AIRY |
| State | NC |
| Zip Code | 27030-2267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457335002 | Vincent V. Miller | Family Medicine | 280 N Pointe Blvd, Mount Airy, NC 27030 | 2005-12-06 |
| 1912520958 | Brittney Heath Preslar | Registered Nurse | 280 N Pointe Blvd, Mount Airy, NC 27030-2267 | 2020-05-26 |
| 1184278103 | Amy Grace Moser | Pharmacist | 280 N Pointe Blvd, Mount Airy, NC 27030-2267 | 2019-07-29 |
| 1194386136 | Brittany Knicely Street | Nurse Practitioner | 280 N Pointe Blvd, Mount Airy, NC 27030 | 2019-06-20 |
| 1346715695 | Virginia Clement Meadows | Nurse Practitioner | 280 N Pointe Blvd, Mount Airy, NC 27030-2267 | 2018-10-12 |
| 1508386889 | Kelley Manuel | Nurse Practitioner | 280 N Pointe Blvd, Mount Airy, NC 27030 | 2017-06-27 |
| 1518493980 | Jose Luis Mendoza | Family Medicine | 280 N Pointe Blvd, Mount Airy, NC 27030-2267 | 2017-05-04 |
| 1982145256 | Crystal Cartledge | Registered Nurse | 280 N Pointe Blvd, Mount Airy, NC 27030-2267 | 2017-03-20 |
| 1215477591 | Northern Hospital of Surry County | Family Medicine | 280 N Pointe Blvd, Mount Airy, NC 27030-2267 | 2017-03-06 |
| 1265898829 | Surry Regional Health Services Inc, Dba Northern Medical Group Family | Preferred Provider Organization | 280 N Pointe Blvd, Mount Airy, NC 27030-2267 | 2016-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124475017 | Jeffrey Lynn Hunter | Podiatrist | 367 S Andy Griffith Pkwy # 200, Mount Airy, NC 27030 | 2016-05-20 |
| 1376984880 | Shari York | Counselor | 847 Westlake Dr, Mount Airy, NC 27030 | 2013-07-12 |
| 1861745069 | Surry-yadkin Residential Services, Inc | Intermediate Care Facility, Mentally Retarded | 1305 Park Dr, Mount Airy, NC 27030 | 2012-10-25 |
| 1346592169 | Debra Lynn Campbell | Physician Assistant | 709 West Independence Blvd., Mount Airy, NC 27030 | 2012-10-03 |
| 1720217680 | Lena Anderson Ferris | Nurse Practitioner | 708 S South St Ste 400, Mount Airy, NC 27030 | 2009-07-13 |
| 1013104520 | Tong Li-masters | Internal Medicine | 830 Rockford Street, Winston Salem, NC 27030 | 2007-09-28 |
| 1336261528 | Thomas R Jackson Dds Pa | Dentist | 1007 Rockford Street, Mount Airy, NC 27030 | 2007-04-06 |
| 1467585422 | Ridgecrest Ritirement Community | Assisted Living Facility | Ridgecrest Retirement, LLC, 1000 Ridgecrest Ln., Mount Airy, NC 27030 | 2007-03-13 |
| 1568516755 | Lou Urmos | Family Medicine | 805 Merita Street, Mt Airy, NC 27030 | 2007-01-23 |
| 1568516391 | Mark Lee Appler | Internal Medicine | 708 S South St Ste 100, Mount Airy, NC 27030 | 2007-01-22 |
| Find all providers in zip 27030 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801410295 | Scenic Pharmacy, Inc | Pharmacy | 113 Scenic Outlet Ln Ste 1, Mount Airy, NC 27030-9978 | 2020-06-02 |
| 1346335502 | Ripley Drug Inc | Pharmacy | 364 N South St, Mount Airy, NC 27030-3532 | 2006-10-04 |
| 1770687618 | Maryland Cvs Pharmacy, L.L.C. | Pharmacy | 1001 Twin Arch Rd Ste 18, Mount Airy, MD 21771-4136 | 2006-09-12 |
| 1760956080 | Franklyn Health Investors Inc. | Pharmacy | 901 N Main St, Mount Airy, NC 27030-3746 | 2019-01-21 |
| 1285789024 | Wallys Pharmacy Inc | Pharmacy | 933 Old Rockford St, Mount Airy, NC 27030-5356 | 2007-01-24 |
| 1891804084 | Mayberry Pharmacy | Pharmacy | 933 Old Rockford St, Suite 3, Mount Airy, NC 27030-5356 | 2006-08-30 |
| 1831122530 | Hospital Pharmacy Inc. | Pharmacy | 814 Worth St, Mount Airy, NC 27030-4561 | 2006-07-08 |
| 1366449282 | Northern Hospital District of Surry County | Pharmacy | 830 Rockford St, Mount Airy, NC 27030-5322 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336747872 | Jordon Baker Acquisitions, Inc. | Pharmacy | 604 S Hwy 226, Bakersville, NC 28705 | 2020-10-16 |
| 1871100164 | Pittsboro Pharmacy | Pharmacy | 630 East St Ste 11, Pittsboro, NC 27312-9475 | 2020-09-30 |
| 1245847599 | Western Brothers LLC | Pharmacy | 1943 E 7th St, Charlotte, NC 28204-2417 | 2020-09-29 |
| 1881200897 | University of North Carolina Health Care System | Pharmacy | 100 Eastowne Dr Ste 1100, Chapel Hill, NC 27514-2286 | 2020-09-16 |
| 1730792615 | Jill Manning West | Pharmacy | 118 Mackenan Dr., Suite 200, Cary, NC 27511 | 2020-08-28 |
| 1912516196 | Avs 2020 Inc | Pharmacy | 6118 Farrington Rd Ste H, Chapel Hill, NC 27517-8108 | 2020-07-23 |
| 1780202788 | Rosemond Salia | Pharmacy | 720 E Highway 74 Business, Rockingham, NC 28379 | 2020-07-07 |
| 1356977672 | Cape Fear Discount Drug - Hope Mills, LLC | Pharmacy | 3018 N Main St, Hope Mills, NC 28348-1722 | 2020-03-18 |
| 1639705957 | Cape Fear Discount Drug - Ramsey, LLC | Pharmacy | 4417 Ramsey St, Fayetteville, NC 28311-2134 | 2020-03-18 |
| 1417582834 | Nc Choice Management Services LLC | Pharmacy | 1338 Asheville Hwy, Hendersonville, NC 28791-3414 | 2020-03-05 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT AIRY |
| Zip Code | 27030 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.