Healthsmart Pharmacy (East)

LBN: Mooresville Pharmacy East Llc
Healthsmart Pharmacy (East) is an health care organization with primary practice located at 594 N Main St , Mooresville NC 28115-2328. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Mooresville Pharmacy East Llc can be contacted via phone (704) 799-6870, or through Houchins, Gavin Michael via phone (704) 799-6870.

Contact Information

Primary practice address
594 N Main St Mooresville NC 28115-2328
Phone: (704) 799-6870
Fax: (704) 799-6871
Website:
Map and Directions
Authorized official contact:
Name: Houchins, Gavin Michael
Phone: (704) 799-6870

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 7707 North Carolina
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X 07707 North Carolina

Profile Details

NPI number 1336222801
LBN Legal business name Mooresville Pharmacy East Llc
DBA Doing business as Healthsmart Pharmacy (East)
Authorized official Houchins, Gavin Michael
Entity Organization
Organization subpart 1 No
Enumeration date Oct 20th, 2006
Last updated Mar 7th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336222801 NPPES
North Carolina MEDICAID 0497129
North Carolina Other 3438276
North Carolina MEDICAID 7N7707
North Carolina MEDICAID 7703285

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