RICETTA RX NORTH CAROLINA LLC. NPI 1902084700

NPI Information

  • NPI: 1902084700
  • Provider Name: RICETTA RX NORTH CAROLINA, LLC.
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • Doing Business As: SOUTHERN PHARMACY SERVICES WINSTON-SALEM
  • Address: 556 ARBOR HILL RD
    SUITE J
    KERNERSVILLE, NC
    ZIP 27284
  • Phone: (866) 768-8479

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NPI Details

RICETTA RX NORTH CAROLINA, LLC. is a long term care pharmacy pharmacy in Kernersville, NC. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. RICETTA RX NORTH CAROLINA, LLC. NPI is 1902084700. The provider is registered as an organization entity type.
The provider Is Doing Business As Southern Pharmacy Services Winston-salem.

The provider's business location address is:

556 ARBOR HILL RD
SUITE J
KERNERSVILLE, NC
ZIP 27284-375
Phone: (866) 768-8479
Fax: (866) 928-3983

The provider's authorized official is Joel Howard Noped .
The authorized official title is Pharmacy Manager and has the following contact phone number (336) 577-3971.

The enumeration date for this NPI number is 2/4/2008 and was last updated on 8/13/2010.

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
13336L0003XPharmacyLong Term Care PharmacyYes

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
16369250001MEDICARE NSC
20347380MEDICAIDNORTH CAROLINA

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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