Eastside Pharmacy Services LLC
NPI 1902357130ActiveOrganization· Pharmacy· Statesville, NC
Pharmacy in Statesville, North Carolina, registered in NPPES in October 2016. The authorized official on file is Melinda Childress, Owner. Medicare paid $13,315 for services to 70 patients in 2024.
Overview
| NPI | 1902357130 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 24, 2016 |
| Last updated in NPPES | Aug 28, 2023 |
| Certified by provider | Aug 28, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 13145 | NC |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Pharmacy (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 70 |
|---|---|
| Services billed | 182 across 7 procedure codes |
| Paid by Medicare | $13,315 |
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