Provider Demographics
NPI:1992357032
Name:HGE PARTNERS
Entity Type:Organization
Organization Name:HGE PARTNERS
Other - Org Name:MEDICAP PHARMACY AND COMPOUNDING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KIERA
Authorized Official - Middle Name:
Authorized Official - Last Name:EMERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-955-6100
Mailing Address - Street 1:361 GEORGE W LILES PKWY NW
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027-6532
Mailing Address - Country:US
Mailing Address - Phone:704-789-9681
Mailing Address - Fax:704-789-9687
Practice Address - Street 1:361 GEORGE W LILES PKWY NW
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28027-6532
Practice Address - Country:US
Practice Address - Phone:704-789-9681
Practice Address - Fax:704-789-9687
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-09
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3471769OtherNABP
3471769OtherNABP