TALL OAKS PHARMACY (NPI# 1366468225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366468225 |
| Entity Type | Organization |
| Organization Name | TALL OAKS PHARMACY |
| Other Organization Name | TALL OAKS PHARMACY |
| Practice Address |
798 Oak Ridge Farm Hwy Ste C Mooresville NC 28115-7923 |
| Mailing Address |
8703 Studley Rd Ste B Mechanicsville VA 23116-2016 |
| Practice Telephone | 7046589814 |
| Practice Fax Number | 7046580721 |
| Mailing Telephone | 7046589814 |
| Mailing Fax Number | 7046580721 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2009-09-10 |
| Authorized Official Name | LARRY CARRUTH (OWNER) |
| Authorized Official Telephone | 7046589814 |
| Authorized Official Credential | RPH |
| 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 |
09273 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 0497529 | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 3405520 | 01 |
| Other Name | Type Code |
|---|---|
| TALL OAKS PHARMACY | Doing Business As Name - Organization |
| Street Address |
798 OAK RIDGE FARM HWY STE C |
| City | MOORESVILLE |
| State | NC |
| Zip Code | 28115-7923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659374833 | Kevin Bruce Vanhoy | Physician Assistant | 798 Oak Ridge Farm Hwy, Ste A, Mooresville, NC 28115-7924 | 2005-05-23 |
| 1073701561 | Larry David Carruth Jr. | Pharmacist | 798 Oak Ridge Farm Hwy, Suite C, Mooresville, NC 28115-7923 | 2007-10-09 |
| 1730182957 | Ronald Charles Huffman | Family Medicine | 798 Oak Ridge Farm Hwy, Ste A, Mooresville, NC 28115-7924 | 2005-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376172338 | Shawn Booth | Counselor | 111 Laporte Lane, Mooresville, NC 28115 | 2020-04-02 |
| 1407418262 | Carlyn Jean Malenfant | Dentist | Loveland Dental Group of Mooresville, 134 N. Magnolia Street, Mooresville, NC 28115 | 2019-07-02 |
| 1619435906 | Loveland Dental Group of Mooresville | Dentist | 134 N. Magnolia Street, Mooresville, NC 28115 | 2019-03-06 |
| 1801317383 | Jessie Watts Gogg | Social Worker | 138 Shepherd Rd, Mooresville, NC 28115 | 2017-07-05 |
| 1063869469 | Amber Hicks-thibodeau | Family Medicine | 798 Oak Ridge Farm Hwy. Suite A, Mooresville, NC 28115 | 2016-05-16 |
| 1003286774 | Lauren Holscher | Speech-Language Pathologist | 3369 Deal Rd, Mooresville, NC 28115 | 2015-10-06 |
| 1629460217 | Jenny S Ryerson | Social Worker | 919 N Main St Ste B, Mooresville, NC 28115 | 2015-02-19 |
| 1720495435 | Lindsey Gardner | Pharmacist | 966 E Iredell Ave., Mooresville, NC 28115 | 2014-07-14 |
| 1568899169 | Saloni Mehta | Physical Therapist | 550 Glenwood Drive, Genesis Rehab, Charlotte, NC 28115 | 2013-09-27 |
| 1528312600 | Ronnie G. Davidson II Dmd Pa | Dentist | 134 N. Magnolia St., Mooresville, NC 28115 | 2012-10-29 |
| Find all providers in zip 28115 | ||||
| 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 |
|---|---|---|---|---|
| 1376176628 | Green Hill 124 Inc | Pharmacy | 124 Trade Ct Ste B, Mooresville, NC 28117-5548 | 2020-02-14 |
| 1912497496 | Patsharx LLC | Pharmacy | 480 River Hwy, Suite A, Mooresville, NC 28117 | 2018-05-10 |
| 1811134869 | Livewell Inc | Pharmacy | 521 E Plaza Dr, Mooresville, NC 28115-8071 | 2009-01-13 |
| 1710158126 | Harris Teeter LLC | Pharmacy | 134 Town Center Dr, Suite H, Mooresville, NC 28117-9158 | 2008-03-13 |
| 1457413965 | Mooresville Pharmacy LLC | Pharmacy | 108 Leaning Oak Dr, Mooresville, NC 28117-6991 | 2006-12-14 |
| 1205925856 | Professional Pharmacy Concepts | Pharmacy | 120 Southpark Dr, Ste 402, Mooresville, NC 28117-8957 | 2006-10-12 |
| 1760945265 | Costco Wholesale Corporation | Pharmacy | 392 Talbert Rd., Mooresville, NC 28117 | 2019-04-11 |
| 1184856551 | Mooresville On-site Pharmacy LLC | Pharmacy | 1000 Lowes Blvd, Mooresville, NC 28117-8520 | 2009-08-18 |
| 1780848804 | Healthsmart Pharmacy LLC | Pharmacy | 108 Leaning Oak Dr, Mooresville, NC 28117 | 2008-07-17 |
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|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
| City | MOORESVILLE |
| Zip Code | 28115 |
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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.