National Provider Identifier Database

INNOVATIVE MEDS RX
Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.


Contact Information

INNOVATIVE MEDS RX
364 N SOUTH ST
MOUNT AIRY, NC27030-3532
Phone: 336-789-5050
Fax: 336-786-7169
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X
Diabetes Educator 163WD0400X
Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for INNOVATIVE MEDS RX

NPI Number 1700154366
Legal business name
LBN
INNOVATIVE MEDS RX
Authorized official RICHARD KOS - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 12/09/2011
Last updated 07/06/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • NC License #: 11190
  • Other: 3459953 NCPDP PROVIDER IDENTIFICATION NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for INNOVATIVE MEDS RX

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