MOORESVILLE PHARMACY EAST, LLC (NPI# 1356628937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356628937 |
| Entity Type | Organization |
| Organization Name | MOORESVILLE PHARMACY EAST, LLC |
| Practice Address |
439 E Statesville Ave Mooresville NC 28115-2533 |
| Practice Telephone | 7047996870 |
| Practice Fax Number | 7047996871 |
| Mailing Telephone | 7047996870 |
| Mailing Fax Number | 7047996871 |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2011-11-09 |
| Authorized Official Name | DR. GAVIN HOUCHINS (OWNER/MANAGER) |
| Authorized Official Telephone | 7047996870 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
07707 | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 0497129 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245707116 | Mooresville Pharmacy East, LLC | Pharmacy | 594 N Main St, Mooresville, NC 28115-2328 | 2018-10-30 |
| Street Address |
439 E STATESVILLE AVE |
| City | MOORESVILLE |
| State | NC |
| Zip Code | 28115-2533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043345135 | Mooresville Pharmacy East LLC | Pharmacist | 439 E Statesville Ave, Suite A, Mooresville, NC 28115-2533 | 2007-02-22 |
| 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 | 3336S0011X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Specialty Pharmacy |
| A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. |
| 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 |
|---|---|---|---|---|
| 1861781718 | Mooresville Pharmacy, LLC | Pharmacy | 108 Leaning Oak Dr, Mooresville, NC 28117-6991 | 2011-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598312118 | Novant Health Pharmacy Services LLC | Pharmacy | 8401 University Exec Park Dr Ste 127, Charlotte, NC 28262-1358 | 2019-08-19 |
| 1902374127 | Appalachian Specialty Pharmacy | Pharmacy | 932 Hendersonville Rd Ste 106, Asheville, NC 28803-6619 | 2018-11-06 |
| 1164803698 | Affinity Specialty Pharmacy Inc | Pharmacy | 1070 Tunnel Rd Bldg 3, Asheville, NC 28805-2014 | 2015-06-10 |
| 1164834867 | Ward Specialty Pharmacy LLC | Pharmacy | 3646 Sunset Ave, Suite 110 Barkley Square, Rocky Mount, NC 27804 | 2014-05-29 |
| 1093071698 | Rx Care of Nc LLC | Pharmacy | 11304 Hawthorne Dr Ste 120, Mint Hill, NC 28227-9467 | 2012-04-09 |
| 1174784292 | Cleveland Compounding Inc | Pharmacy | 701 2 East Grover St, Shelby, NC 28150 | 2008-06-20 |
| 1235205873 | Mast Drug Co Inc | Pharmacy | 501 S Chestnut St, Henderson, NC 27536-4102 | 2006-11-27 |
| 1891881769 | College Pharmacy, Inc. Ant | Pharmacy | 4217 S New Hop Rd, Suite 101, Gastonia, NC 28056 | 2006-10-05 |
| 1093750226 | Greer Laboratories Inc. | Pharmacy | 639 Nuway Circle Ne, Lenoir, NC 28645 | 2006-06-19 |
| 1043203623 | Respiratory At Home Plus | Pharmacy | 110 Oakcrest Dr, Marion, NC 28752-4976 | 2005-08-29 |
| Find all providers with the same taxonomy | ||||
| City | MOORESVILLE |
| Zip Code | 28115 |
Please comment or provide details below to improve the information on MOORESVILLE PHARMACY EAST, LLC.
| 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.