Prime Specialty Pharmacy
NPI 1316651482ActiveOrganization· Pharmacy· Pineville, NC
Pharmacy in Pineville, North Carolina, registered in NPPES in January 2023. The authorized official on file is Jignesh Mandavia, Pharmacist. Enrolled in Medicare as part b supplier - pharmacy.
Overview
| NPI | 1316651482 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 12, 2023 |
| Last updated in NPPES | Jan 12, 2023 |
| Certified by provider | Jan 5, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Pharmacy (NC) |
|---|
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