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ADVANCE COMMUNITY HEALTH INC NPI 1619655297


NPI Information

NPI: 1619655297
Provider Name: ADVANCE COMMUNITY HEALTH, INC
Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 34D2281936

Address:
111 S CHURCH ST
LOUISBURG, NC
ZIP 27549
Phone: (919) 755-5060
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ADVANCE COMMUNITY HEALTH, INC is a pharmacy in Louisburg, 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. ADVANCE COMMUNITY HEALTH, INC NPI is 1619655297. The provider is registered as an organization entity type.

The provider's business location address is:

111 S CHURCH ST
LOUISBURG, NC
ZIP 27549-501
Phone: (919) 755-5060

The provider's authorized official is Tonchelle Renee Lucas .
The authorized official title is Credentialing Manager and has the following contact phone number (919) 250-2978.

The CLIA number assigned to this NPI record is 34D2281936 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/5/2023 and was last updated on 7/5/2023.


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
2333600000XPharmacyYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.