SOUTH PARK FAMILY PHARMACY LLC


Address: 1215 A West Clemmonsville Road, Winston-salem, NC 27127-4790
Phone: 3368532744

SOUTH PARK FAMILY PHARMACY LLC (NPI# 1295173573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295173573
Entity Type Organization
Organization Name SOUTH PARK FAMILY PHARMACY LLC
Other Organization Name SOUTH PARK FAMILY PHARMACY
Practice Address 1215 A West Clemmonsville Road
Winston-salem
NC 27127-4790
Mailing Address 4320 S Nc Highway 150
Lexington
NC 27295-5161
Practice Telephone 3368532744
Practice Fax Number 3368535915
Mailing Telephone 3368532744
Mailing Fax Number 3368535915
Enumeration Date 2013-06-10
Last Update Date 2014-12-23
Authorized Official Name RUSSELL WARREN PATTERSON (MEMBER/MANAGER)
Authorized Official Telephone 3368532744
Authorized Official Credential PHARM D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy 11570 NC Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
Suppliers

Other Provider/Organization Names

Other Name Type Code
South Park Family Pharmacy Doing Business As Name - Organization

Office Location

Street Address 1215 A WEST CLEMMONSVILLE ROAD
City WINSTON-SALEM
State NC
Zip Code 27127-4790

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1821695164 North Davidson Dialysis Center of Wake Forest University Clinic/Center 295 Millers Creek Drive, Winston Salem, NC 27127 2020-10-08
1326654963 Procare Home Health, LLC Home Health 12133 Nc-150 Suite C, Winston-salem, NC 27127 2020-09-18
1952809576 Lamboy and Rubio Dds Pa Dentist 2563 Peters Creek Pkwy, Winston Salem, NC 27127 2018-01-29
1427403815 Ramona Rorie Griffin Noble Counselor 1348 Westgate Center Drive Suite 202, Winston Salem, NC 27127 2016-05-04
1205295680 Kia Johnson Dentist 2101 Peters Creek Pkwy Ste 16-19, Winston Salem, NC 27127 2016-02-15
1487030060 Llibott Consultorios Medicos- Ws,pllc Clinic/Center 1145 Silas Creek Pkwy, Winston Salem, NC 27127 2015-08-05
1740688266 Bonnie M. Clifton Specialist/Technologist 800 Salisbury Ridge Rd, Winston-salem, NC 27127 2014-12-16
1740606706 Yen T Nguyen Dmd Pllc Dentist 2375 Brewer Road, Winston-salem, NC 27127 2014-03-13
1316254451 Marquis D. Bailey Specialist 200 Alexander Preston Ln, Winston - Salem, NC 27127 2010-09-10
1093991234 Independent Living Group Home, LLC Custodial Care Facility 924 Cloister Dr, Winston Salem, NC 27127 2008-01-17
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and state

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
1801410295 Scenic Pharmacy, Inc Pharmacy 113 Scenic Outlet Ln Ste 1, Mount Airy, NC 27030-9978 2020-06-02
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
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Competitor

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City WINSTON-SALEM
Zip Code 27127

Improve Information

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Dataset Information

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.

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