NELAN LLC NPI 1083739254

NPI Information

  • NPI: 1083739254
  • Provider Name: NELAN LLC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: RANDOLPH MEDICAL PHARMACY
  • CLIA Number: 34D2185264
  • Address: 3541 RANDOLPH RD
    SUITE 104
    CHARLOTTE, NC
    ZIP 28211
  • Phone: (704) 365-0707

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NPI Details

NELAN LLC is a community/retail pharmacy pharmacy in Charlotte, NC. The provider is 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. NELAN LLC NPI is 1083739254. The provider is registered as an organization entity type.
The provider Is Doing Business As Randolph Medical Pharmacy.

The provider's business location address is:

3541 RANDOLPH RD
SUITE 104
CHARLOTTE, NC
ZIP 28211-082
Phone: (704) 365-0707
Fax: (704) 442-9870

The provider's authorized official is Kuntal Lala .
The authorized official title is Pharmacy Manager and has the following contact phone number (704) 365-0707.

The CLIA number assigned to this NPI record is 34D2185264 - pharmacy with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count (HCPCS:K1034)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)
  • Adm sarscov2 30mcg/0.3ml 3rd (HCPCS:0003A)
  • Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)

The enumeration date for this NPI number is 3/20/2007 and was last updated on 3/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0004XPharmacyCompounding PharmacyNo
33336S0011XPharmacySpecialty PharmacyNo
43336C0003XPharmacyCommunity/Retail Pharmacy09490NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17N9490MEDICAIDSOUTH CAROLINA
20605998MEDICAIDNORTH CAROLINA
32068170OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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