Provider Demographics
NPI:1720223761
Name:COMMUNITY HEALTHCARE SOLUTIONS INC.
Entity Type:Organization
Organization Name:COMMUNITY HEALTHCARE SOLUTIONS INC.
Other - Org Name:MEDICAP PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SUNIL
Authorized Official - Middle Name:
Authorized Official - Last Name:PERSAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-718-4988
Mailing Address - Street 1:138 S STEELE ST
Mailing Address - Street 2:SUITE V
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27330-4201
Mailing Address - Country:US
Mailing Address - Phone:919-718-4988
Mailing Address - Fax:919-718-4990
Practice Address - Street 1:305 N JUDD PKWY NE
Practice Address - Street 2:
Practice Address - City:FUQUAY VARINA
Practice Address - State:NC
Practice Address - Zip Code:27526-2370
Practice Address - Country:US
Practice Address - Phone:919-567-5372
Practice Address - Fax:919-567-5376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-04
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC099963336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC09200180Medicaid
NC2800003Medicare PIN
NC09200180Medicaid