| NPI | 1083739254 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2007-03-20 |
| Last Updated | 2022-03-21 |
| Authorized Official | Kuntal Lala Pharmacy Manager Phone: 7043650707 |
| Mailing Address | 3541 Randolph Rd, Suite 104 Charlotte, NC 28211-1082 United States Phone: (704) 365-0707 | Fax: (704) 442-9870 📍 View Map |
| Primary Practice Address | 3541 Randolph Rd, Suite 104 Charlotte, NC 28211-1082 United States Phone: (704) 365-0707 | Fax: (704) 442-9870 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | NC | 0605998 | - |
| Other (non-Medicare) | - | 2068170 | PK |
| MEDICAID | SC | 7N9490 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 333600000X – Pharmacy | - | - |
| No | 3336C0004X – Pharmacy, Compounding Pharmacy | - | - |
| No | 3336S0011X – Pharmacy, Specialty Pharmacy | - | - |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | NC | 09490 |
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About NPI 1083739254
Nelan Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1083739254. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Charlotte, NC. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-03-20. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1083739254?
NPI 1083739254 belongs to Nelan Llc, a Pharmacy, Community/Retail Pharmacy in Charlotte, NC. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1083739254 active?
The current status of NPI 1083739254 in the NPPES registry is Active. The record was last updated on 2022-03-21.
What specialty is NPI 1083739254?
NPI 1083739254 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 1083739254?
You can verify NPI 1083739254 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 1083739254?
The primary practice address on file for NPI 1083739254 is 3541 Randolph Rd, Charlotte, NC 28211-1082. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1083739254 issued?
NPI 1083739254 was first issued (enumerated) on 2007-03-20. The NPPES record was last updated on 2022-03-21.
Practice Location Map
Nelan Llc is located at 3541 Randolph Rd, Charlotte, NC. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Nelan Llc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1083739254. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | 09490 | NC |