MEDPRO RX (NPI# 1881983369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881983369 |
| Entity Type | Organization |
| Organization Name | MEDPRO RX |
| Practice Address |
140 Northway Ct Raleigh NC 27615-4916 |
| Practice Telephone | 9198479001 |
| Practice Fax Number | 9198479014 |
| Mailing Telephone | 9198479001 |
| Mailing Fax Number | 9198479014 |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2019-05-24 |
| Authorized Official Name | DAVE LOSCHINSKEY (COO, DIPLOMAT PHARMACY INC) |
| Authorized Official Telephone | 8107689452 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
08390 | NC | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
08390 | NC | Suppliers |
| Y | 333600000X | Pharmacy | 08390 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BLUE CROSS BLUE SHIELD | 049PK | 01 |
| NC | 0920619 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | MedPro Rx Inc. | 140 Northway Ct, Raleigh, North Carolina 27615-4916 |
| Vermont Business Registrations | MEDPRO RX, INC. | 140 Northway Court, Raleigh, NC 27615 |
| Washington State Corporations | MEDPRO RX, INC. | 140 Northway Ct, Raleigh, NC 27615-4916 |
| Street Address |
140 NORTHWAY CT |
| City | RALEIGH |
| State | NC |
| Zip Code | 27615-4916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982602991 | Medpro Rx Inc | Pharmacy | 140 Northway Ct, Raleigh, NC 27615-4916 | 2005-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588278535 | Emily Grace Johnson | Behavior Technician | 119 Wind Chime Court, Suite 4, Raleigh, NC 27615 | 2020-09-06 |
| 1730706110 | Maja V Martin, Dds, Pa1 | Clinic/Center | 7371 Six Forks Road, Raleigh, NC 27615 | 2020-07-01 |
| 1972146967 | Atlantic Avenue Pharmaceutical, Inc | Pharmacy | 5621 Atlantic Ave, Suite 103, Raleigh, NC 27615 | 2019-10-22 |
| 1023503950 | Siyara Shannay Dobbs | Social Worker | 7013 Woodbend Dr Apt H, Raleigh, NC 27615 | 2018-06-23 |
| 1194210153 | Brittanie Ja'nell Harris | Dentist | 1911 Falls Valley Dr Ste 107, Raleigh, NC 27615 | 2018-06-22 |
| 1710489448 | Sherise Swensen | Social Worker | 8368 Six Forks Road, Suite 101, Raleigh, NC 27615 | 2018-03-08 |
| 1881100345 | Casey Paul Baine | Counselor | 6330 Falls of Neuse Rd Ste 104, Raleigh, NC 27615 | 2017-12-20 |
| 1588177885 | Michael Lacidonia | Acupuncturist | 6400 Falls of Neuse Rd Ste 200, Raleigh, NC 27615 | 2017-11-08 |
| 1457877631 | Matt Henderson | Behavioral Analyst | 8374 Six Forks Road, Suite 101, Raleigh, NC 27615 | 2017-08-18 |
| 1760907646 | Shakeda Muldrow | Social Worker | 7323 Brookbank Lane, Raleigh, NC 27615 | 2017-08-11 |
| Find all providers in zip 27615 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982050670 | Payless Pharmacies Inc | Pharmacy | 401 Glenwood Ave, Ste 101, Raleigh, NC 27603-1219 | 2016-05-11 |
| 1255720371 | Sembramtm, Inc. | Pharmacy | 4000 Blue Ridge Rd Ste 110, Raleigh, NC 27612-4650 | 2015-01-13 |
| 1881001311 | Triangle Home Infusions LLC | Pharmacy | 3434 Edwards Mill Rd Ste 100, Raleigh, NC 27612-4276 | 2014-07-16 |
| 1194169615 | Greystone Village Pharmacy Inc | Pharmacy | 7713 Lead Mine Rd Ste 37, Raleigh, NC 27615-4805 | 2013-04-26 |
| 1427395649 | James & Associates Inc | Pharmacy | 4111 New Bern Ave, Raleigh, NC 27610-1372 | 2013-01-08 |
| 1528359874 | Office Meds Management, Inc. | Pharmacy | 3004 Wake Forest Rd Ste 112-b, Raleigh, NC 27609-7874 | 2011-04-20 |
| 1346544293 | Johnson S Family Pharmacy LLC | Pharmacy | 7277 Nc Highway 42 Ste 208, Raleigh, NC 27603-7528 | 2011-01-07 |
| 1710059506 | Rx for Healthy Solutions, Inc | Pharmacy | 6635 Falls of Neuse Rd, Raleigh, NC 27615-6816 | 2006-11-15 |
| 1477651354 | Pharmacy Corporation of America | Pharmacy | 8431 Garvey Dr, Ste 109, Raleigh, NC 27616-3267 | 2006-09-21 |
| 1881704583 | Kerr Drug Inc A Delaware Company | Pharmacy | 3649 New Bern Ave, Raleigh, NC 27610-1232 | 2006-08-30 |
| Find all providers in RALEIGH | ||||
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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.