HEALTH PARK PHARMACY LLC NPI 1679638167

NPI Information

  • NPI: 1679638167
  • Provider Name: HEALTH PARK PHARMACY LLC
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Address: 8300 HEALTH PARK
    SUITE 227
    RALEIGH, NC
    ZIP 27615
  • Phone: (919) 847-7645

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NPI Details

HEALTH PARK PHARMACY LLC is a pharmacy in Raleigh, 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. HEALTH PARK PHARMACY LLC NPI is 1679638167. The provider is registered as an organization entity type.

The provider's business location address is:

8300 HEALTH PARK
SUITE 227
RALEIGH, NC
ZIP 27615-731
Phone: (919) 847-7645
Fax: (919) 847-7641

The provider's authorized official is Larry Steven Adkins .
The authorized official title is Owner/manager and has the following contact phone number (919) 847-7645.

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.

  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Adm sarscov2 30mcg/0.3ml 3rd (HCPCS:0003A)
  • Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)

The enumeration date for this NPI number is 12/26/2006 and was last updated on 3/7/2023.

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 Pharmacy9307NORTH CAROLINANo
23336C0003XPharmacyCommunity/Retail PharmacyNo
33336L0003XPharmacyLong Term Care PharmacyNo
4333600000XPharmacy11200NORTH 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
10920708MEDICAIDNORTH CAROLINA
27704623MEDICAIDNORTH CAROLINA
311200OTHERNORTH CAROLINAPHARMACY PERMIT
43407459OTHERNCPDP

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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