GLEN RAVEN PHARMACY
NPI 1205137254
Pharmacy - Community/Retail Pharmacy in Burlington, NC

Active since November 08, 2010
1902 W WEBB AVE, BURLINGTON, NC 27217(336) 584-3736 Get Directions Write a Review

NPPES record last updated: November 8, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Glen Raven Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLEN RAVEN PHARMACY (NPI 1205137254) is a healthcare organization registered as a community/retail pharmacy in Burlington, North Carolina and active in the NPI registry since November 2010. The organization lists August Richard Peters, Pharmacist/manager, as its authorized official.

NPPES Registry Identity

NPI1205137254
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameGLEN RAVEN PHARMACY, INC.
Location Address1902 W WEBB AVEBurlington, NC 27217-1062
Mailing Address1902 W Webb AveBurlington, NC 27217-1062 · (336) 584-3736
Organization SubpartNo
Authorized OfficialAugust Richard PetersPharmacist/manager · (336) 584-3736
Enumeration DateNovember 8, 2010
NPI 1205137254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in NC · 07468
Definition
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.
1902 W WEBB AVE, Burlington, NC 27217

Other Names 1

Doing Business AsGlen Raven Pharmacy

Other Identifiers 3

Medicare NSC1309120001NC
Medicaid0015884NC
Medicaid7703170NC

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Community/Retail Pharmacy)
1902 W WEBB AVE
BURLINGTON, NC 27217
Pharmacist
1902 W WEBB AVE
BURLINGTON, NC 27217

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glen Raven Pharmacy, Inc.'s NPI number?

The NPI number for Glen Raven Pharmacy, Inc. is 1205137254. It was assigned to this organization in the NPPES registry on November 8, 2010. The provider is doing business as Glen Raven Pharmacy.

Where is Glen Raven Pharmacy, Inc. located?

Glen Raven Pharmacy, Inc. is located at 1902 W Webb Ave, Burlington, NC 27217. The listed phone number is (336) 584-3736.

What is Glen Raven Pharmacy, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Glen Raven Pharmacy, Inc. was last updated on November 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.