YADKIN VALLEY HEALTH CARE LLC (NPI# 1972510071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972510071 |
| Entity Type | Organization |
| Organization Name | YADKIN VALLEY HEALTH CARE LLC |
| Practice Address |
17955 Nc Hwy 109 S Denton NC 27239 |
| Practice Telephone | 3368590272 |
| Practice Fax Number | 3368592192 |
| Mailing Telephone | 3368590272 |
| Mailing Fax Number | 3368592192 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DELBERT MARVIN CRANFORD (MANAGER PHARMACIST) |
| Authorized Official Telephone | 3368590272 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
08419 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 0295830 | 05 |
| Street Address |
17955 NC HWY 109 S |
| City | DENTON |
| State | NC |
| Zip Code | 27239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720545213 | Allison Rebecca Nance | Physical Therapy Assistant | 106 Mt Vista Health Park Road, Denton, NC 27239 | 2019-02-21 |
| 1881989036 | Supportive Care Solutions, LLC | Case Management | 56 West Salisbury St, Denton, NC 27239 | 2011-06-16 |
| 1982801270 | Jeanne Shore | Speech-Language Pathologist | 106 Moutnain Vista Rd, Denton, NC 27239 | 2007-06-29 |
| 1083818041 | Gloria Brooks Tolliver | Physical Therapist | 1547 Mountain Vista Road, Denton, NC 27239 | 2007-06-13 |
| 1629135744 | Florita Castor Mangundayao | Family Medicine | 292 South Main Street, Denton, NC 27239 | 2007-01-02 |
| 1104997147 | Felizardo Hocbo Mangundayao | Family Medicine | 292 South Main St., Denton, NC 27239 | 2006-11-13 |
| 1427166149 | Barrett and Tanner Inc | Durable Medical Equipment & Medical Supplies | 17941 S. Hwy 109, Denton, NC 27239 | 2006-08-25 |
| 1619904786 | Terry Odell Bowman | Dentist | 49 Anderson St, Denton, NC 27239 | 2006-06-26 |
| 1295903664 | Tony M Cranford | Optometrist | 208 South Main St, Denton, NC 27239 | 2008-02-19 |
| 1528403748 | Gordon Hampton Bane Jr. | Physical Therapy Assistant | 106 Mountain Vista Road, Denton, NC 27239-0000 | 2013-05-01 |
| Find all providers in zip 27239 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1679515977 | Texas Community Pharmacy Services | Pharmacy | 4400 Teasley Ln Ste 100, Denton, TX 76210-4651 | 2006-06-12 |
| 1407926355 | Health and Human Services Commission | Pharmacy | 3980 State School Rd, Denton, TX 76210-8823 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982236584 | Premier Pharmacy and Wellness Center LLC | Pharmacy | 3010 Monroe Rd Ste 101, Charlotte, NC 28205-7533 | 2020-02-11 |
| 1114564564 | Gaben | Pharmacy | 6602 Knightdale Blvd Ste 120, Knightdale, NC 27545-6567 | 2019-12-04 |
| 1316588346 | Nuevo Health, Inc | Pharmacy | 937 Old Knight Rd, Knightdale, NC 27545-9065 | 2019-10-01 |
| 1164987996 | Austin Drugs, Inc | Pharmacy | 3513 Suite B Highway 74 E, Monroe, NC 28110 | 2019-02-06 |
| 1326503657 | Village Pharmacy of Hampstead Inc | Pharmacy | 14057 Hwy 17, Suite 100, Hampstead, NC 28443 | 2019-01-31 |
| 1689148496 | Pharmscript of Nc LLC | Pharmacy | 140 Southcenter Ct Ste 600, Morrisville, NC 27560-8538 | 2019-01-15 |
| 1356812432 | Polaris Pharmacy Services of North Carolina, LLC | Pharmacy | 3300 Monroe Rd Unit E&f, Charlotte, NC 28205-7853 | 2018-12-16 |
| 1043799356 | Nelan LLC | Pharmacy | 3541 Randolph Rd Ste 104, Charlotte, NC 28211-1081 | 2018-08-08 |
| 1699280008 | The Script LLC | Pharmacy | 1450 Shaire Center Drive, Hudson, NC 28638 | 2017-12-07 |
| 1528592813 | Triad Choice Pharmacy | Pharmacy | 658 Waughtown St, Winston Salem, NC 27107-2217 | 2017-04-13 |
| Find all providers with the same taxonomy | ||||
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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.