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Export Provider Record NPI 1073651063
Health Innovations Pharmacy Inc
Organization Subpart: NO
Active
NPI Number1073651063
NPI TypeNPI-2 Organization
SpecialtyPharmacy, Community/Retail Pharmacy
Provider Details
NPI1073651063
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2007-02-02
Last Updated2019-01-02
Authorized OfficialTimothy Clark
CEO
Phone: 9102465155
Mailing Address295 Pinehurst Ave Bldg 2
Southern Pines, NC 28387-7023
United States
Phone: (910) 246-5155 | Fax: (910) 246-5157
📍 View Map
Primary Practice Address295 Pinehurst Ave Bldg 2
Southern Pines, NC 28387-7023
United States
Phone: (910) 246-5155 | Fax: (910) 246-5157
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDNC0635540
Other (non-Medicare)2068810PK
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No333600000X – Pharmacy
Yes3336C0003X – Pharmacy, Community/Retail PharmacyNC07705
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About NPI 1073651063

Health Innovations Pharmacy Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1073651063. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Southern Pines, NC. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-02-02. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1073651063?

NPI 1073651063 belongs to Health Innovations Pharmacy Inc, a Pharmacy, Community/Retail Pharmacy in Southern Pines, NC. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1073651063 active?

The current status of NPI 1073651063 in the NPPES registry is Active. The record was last updated on 2019-01-02.

What specialty is NPI 1073651063?

NPI 1073651063 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1073651063?

You can verify NPI 1073651063 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1073651063?

The primary practice address on file for NPI 1073651063 is 295 Pinehurst Ave Bldg 2, Southern Pines, NC 28387-7023. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1073651063 issued?

NPI 1073651063 was first issued (enumerated) on 2007-02-02. The NPPES record was last updated on 2019-01-02.

Practice Location Map

Health Innovations Pharmacy Inc is located at 295 Pinehurst Ave Bldg 2, Southern Pines, NC. Use the map below to find directions or verify the practice location.

📍 295 Pinehurst Ave Bldg 2, Southern Pines, NC 28387-7023  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Health Innovations Pharmacy Inc. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1073651063. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pharmacy, Community/Retail Pharmacy07705NC
Data Verified from CMS NPPES Last synced: 2026-06-20 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162