NELAN LLC (NPI# 1083739254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083739254 |
| Entity Type | Organization |
| Organization Name | NELAN LLC |
| Other Organization Name | RANDOLPH MEDICAL PHARMACY |
| Practice Address |
3541 Randolph Rd Suite 104 Charlotte NC 28211-1082 |
| Practice Telephone | 7043650707 |
| Practice Fax Number | 7044429870 |
| Mailing Telephone | 7043650707 |
| Mailing Fax Number | 7044429870 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2016-03-14 |
| Authorized Official Name | KUNTAL LALA (PHARMACY MANAGER) |
| Authorized Official Telephone | 7043650707 |
| Authorized Official Credential | PHRMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
09490 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 0605998 | 05 | |
| SC | 7N9490 | 05 | |
| PK | 2068170 | 01 |
| Other Name | Type Code |
|---|---|
| RANDOLPH MEDICAL PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043799356 | Nelan LLC | Pharmacy | 3541 Randolph Rd Ste 104, Charlotte, NC 28211-1081 | 2018-08-08 |
| Street Address |
3541 RANDOLPH RD SUITE 104 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28211-1082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326022344 | Carol Myrtle Green | Physical Therapist | 3541 Randolph Rd, Ste 100w, Charlotte, NC 28211-1082 | 2005-12-02 |
| 1134744428 | Elisa Shipley | Pharmacist | 3541 Randolph Rd, Charlotte, NC 28211-1082 | 2020-06-11 |
| 1194215855 | Kelsey Mangan | Social Worker | 3541 Randolph Rd, Ste 206, Charlotte, NC 28211-1082 | 2018-05-17 |
| 1598261703 | Christie Dehoff | Nurse Practitioner | 3541 Randolph Rd, Ste 206, Charlotte, NC 28211-1082 | 2018-04-05 |
| 1154771418 | Margaret Mcbride Hanna | Physical Therapist | 3541 Randolph Rd, Suite 100, Charlotte, NC 28211-1082 | 2016-06-17 |
| 1780039214 | Jessica Busick | Counselor | 3541 Randolph Rd, Ste 206, Charlotte, NC 28211-1082 | 2016-05-03 |
| 1164884821 | Centro Medico Latino, PC | Family Medicine | 3541 Randolph Rd, Ste 303, Charlotte, NC 28211-1082 | 2016-03-22 |
| 1659736239 | Samantha Doan | Nurse Practitioner | 3541 Randolph Rd, Ste 206, Charlotte, NC 28211-1082 | 2015-12-23 |
| 1073988838 | Mariane M. Franceschi Malucelli | Physical Therapist | 3541 Randolph Rd, Suite 100w, Charlotte, NC 28211-1082 | 2015-12-04 |
| 1699145722 | Heather Nelson | Nurse Practitioner | 3541 Randolph Rd, Ste 101, Charlotte, NC 28211-1082 | 2015-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184277832 | I and J Wheelchair Transportation | Non-emergency Medical Transport (VAN) | 1512 Delane Avenue, Charlotte, NC 28211 | 2019-07-22 |
| 1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
| 1649798273 | Ally Home Care Charlotte LLC | In Home Supportive Care | 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 | 2017-09-04 |
| 1154866770 | Vaibhav Bajaj | Dentist | 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 | 2017-01-05 |
| 1508254939 | Lindsay Marie Smits | Speech-Language Pathologist | 427 N. Wendover Rd., Charlotte, NC 28211 | 2015-01-08 |
| 1457755480 | Kristen Hammer | Physical Therapy Assistant | 4120 Providence Rd Apt D, Charlotte, NC 28211 | 2014-10-20 |
| 1669805610 | Carla Elizabeth Scott | Physical Therapist | 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 | 2013-08-14 |
| 1760726368 | Jill Hensdale Shipp | Social Worker | 307 Hunter Lane, Charlotte, NC 28211 | 2012-11-20 |
| 1346592722 | Danielle Marie Benoit | Occupational Therapist | 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 | 2012-10-09 |
| 1487910832 | John Joseph Marcel Jr. | Orthopaedic Surgery | 449 North Wendover Rd Ste A, Charlotte, NC 28211 | 2012-04-10 |
| Find all providers in zip 28211 | ||||
| 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] |
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|---|---|---|---|---|
| 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.