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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 Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Diabetes Educator

163WD0400X
 

Medical Specialty

261QM2500X
Indicates primary specialty

NPI Profile & details for INNOVATIVE MEDS RX

NPI # 1700154366
LBN Legal business name INNOVATIVE MEDS RX
Authorized official RICHARD KOS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/09/2011
Last updated 07/06/2021 - About 5 years ago
Identifiers
NC License # 11190
Other 3459953 NCPDP PROVIDER IDENTIFICATION NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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