LAX COTSWOLD LLC NPI 1396800710

NPI Information

  • NPI: 1396800710
  • Provider Name: LAX COTSWOLD LLC
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Doing Business As: WALKER'S DRUG STORE
  • CLIA Number: 34D2184399
  • Address: 4390 COLWICK RD
    CHARLOTTE, NC
    ZIP 28211
  • Phone: (704) 364-3444

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NPI Details

LAX COTSWOLD LLC is a pharmacy in Charlotte, NC. The provider is 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. LAX COTSWOLD LLC NPI is 1396800710. The provider is registered as an organization entity type.
The provider Is Doing Business As Walker's Drug Store.

The provider's business location address is:

4390 COLWICK RD
CHARLOTTE, NC
ZIP 28211-310
Phone: (704) 364-3444
Fax: (704) 364-1320

The provider's authorized official is Vipul Patel .
The authorized official title is Owner and has the following contact phone number (704) 364-3444.

The CLIA number assigned to this NPI record is 34D2184399 - pharmacy with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)

The enumeration date for this NPI number is 12/26/2006 and was last updated on 4/30/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyNo
23336C0004XPharmacyCompounding PharmacyNo
3333600000XPharmacy12986NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12159592OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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