ID CONSULTANTS PA (NPI# 1790842193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790842193 |
| Entity Type | Organization |
| Organization Name | ID CONSULTANTS PA |
| Other Organization Name | IDC PHARMACY |
| Practice Address |
4539 Hedgemore Dr Ste 110 Charlotte NC 28209-3276 |
| Practice Telephone | 7045236049 |
| Practice Fax Number | 7045236059 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2008-06-20 |
| Authorized Official Name | MR. BILL LAMB (PHCY DIR) |
| Authorized Official Telephone | 7045236049 |
| Authorized Official Credential | RPH MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
07526 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4223361 | 01 |
| Other Name | Type Code |
|---|---|
| IDC PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205815701 | Id Consultants Pa | Internal Medicine | 4539 Hedgemore Drive, Suite 100, Charlotte, NC 28209 | 2006-01-12 |
| 1407339773 | Id Consultants Pa | Internal Medicine | 4461 Coit Rd Ste 409, Frisco, TX 75035-0526 | 2018-09-12 |
| Street Address |
4539 HEDGEMORE DR STE 110 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28209-3276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164408423 | Joseph Lang | Internal Medicine | 4539 Hedgemore Dr, Ste 100, Charlotte, NC 28209-3276 | 2005-12-19 |
| 1902452600 | Kelsey Linde | Physician Assistant | 4539 Hedgemore Dr, Ste 100, Charlotte, NC 28209-3276 | 2019-08-18 |
| 1164942892 | Wayne Wilkens Jr. | Nurse Practitioner | 4539 Hedgemore Dr, Ste 100, Charlotte, NC 28209-3276 | 2017-06-23 |
| 1326445040 | Dana Karp | Nurse Practitioner | 4539 Hedgemore Dr, Ste 100, Charlotte, NC 28209-3276 | 2014-11-24 |
| 1528486057 | Mindy Sampson | Internal Medicine | 4539 Hedgemore Dr, Ste 100, Charlotte, NC 28209-3276 | 2014-04-02 |
| 1003242876 | Carolinas Physicians Network Inc | Internal Medicine | 4539 Hedgemore Dr, Ste 100, Charlotte, NC 28209-3276 | 2013-09-24 |
| 1487945333 | Leigh Ann Medaris | Internal Medicine | 4539 Hedgemore Dr, Suite 100, Charlotte, NC 28209-3276 | 2011-04-27 |
| 1952626319 | Kaitlin Beckman | Internal Medicine | 4539 Hedgemore Dr, Ste 100, Charlotte, NC 28209-3276 | 2010-03-29 |
| 1619135092 | Anupama Neelakanta | Internal Medicine | 4539 Hedgemore Dr, Ste 100, Charlotte, NC 28209-3276 | 2008-06-02 |
| 1003006172 | Nestor Quezada | Internal Medicine | 4539 Hedgemore Dr, Ste 100, Charlotte, NC 28209-3276 | 2007-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194382200 | Christopher Joseph Malara | Occupational Therapy Assistant | 3600 Park Rd, Charlotte, 28209, Nc, Charlotte, NC 28209 | 2019-05-23 |
| 1982187571 | Elizabeth Black Smith | Dietitian, Registered | 5821 Fairview Road, Suite 216, Charlotte, NC 28209 | 2018-09-11 |
| 1235611690 | Shearer Counseling Services Pllc | Counselor | 5200 Park Road Ste 200-3, Charlotte, NC 28209 | 2018-09-02 |
| 1942796396 | Wade Medical Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 4400 Park Rd Unit 315, Charlotte, NC 28209 | 2018-07-09 |
| 1750803672 | Stephanie Rindner | Behavior Technician | 716 Marsh Road, Charlotte, NC 28209 | 2017-07-12 |
| 1861939621 | Carolinas Healthcare System | General Acute Care Hospital | 3329 Weston St, Charlotte, NC 28209 | 2017-01-31 |
| 1275943011 | Cameron Cunningham | Anesthesiology | 1515 Mockingbird Ln Ste 680, Charlotte, NC 28209 | 2014-05-02 |
| 1013299205 | Digital Ultrasound Associates | Spec/Tech, Cardiovascular | 4450 South Blvd Suite 4, Charlotte, NC 28209 | 2011-09-13 |
| 1801117676 | Rosemary Nmi Lucas | Physical Therapist | 2910 Selwyn Ave #359, Charlotte, NC 28209 | 2010-06-16 |
| 1194049767 | Frances Massey Harley | Speech-Language Pathologist | 715 Hartford Avenue, Sedgefield Elementary School, Charlotte, NC 28209 | 2010-03-25 |
| Find all providers in zip 28209 | ||||
| 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 |
|---|---|---|---|---|
| 1245847599 | Western Brothers LLC | Pharmacy | 1943 E 7th St, Charlotte, NC 28204-2417 | 2020-09-29 |
| 1770121998 | Capsule Charlotte LLC | Pharmacy | 2041 South Blvd Ste 103, Charlotte, NC 28203-5775 | 2019-12-18 |
| 1821631672 | Healthy Living Pharmacy | Pharmacy | 3717 N. Sharon Amity Road, Suite C, Charlotte, NC 28205 | 2019-10-24 |
| 1861957292 | Oakhurst Health Investers Inc. | Pharmacy | 1630 Oakhurst Commons Dr, Unit 206, Charlotte, NC 28205 | 2019-02-11 |
| 1720576085 | D&d Pharmacy LLC | Pharmacy | 2903 Central Ave Ste A, Charlotte, NC 28205-6073 | 2018-04-23 |
| 1609302173 | Charlotte Family Pharmacy | Pharmacy | 7008 E Wt Harris Blvd Ste 4, Charlotte, NC 28215-4298 | 2017-05-03 |
| 1316483472 | Health Saver Rx, LLC | Pharmacy | 3809 Beam Road Suite H, Suite H, Charlotte, NC 28217 | 2017-01-13 |
| 1396195913 | Rxcp2 | Pharmacy | 6010 E W T Harris Blvd, Charlotte, NC 28215-4084 | 2016-06-14 |
| 1396146452 | Genoa Healthcare, LLC | Pharmacy | 5700 Executive Center Dr Ste 216, Charlotte, NC 28212-8833 | 2014-09-09 |
| 1245630706 | Walgreens Co. | Pharmacy | 2720 South Blvd, Apt 122, Charlotte, NC 28209-0004 | 2014-09-02 |
| Find all providers in CHARLOTTE | ||||
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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.