PRIME SPECIALTY PHARMACY
NPI 1316651482
Pharmacy in Pineville, NC

Active since January 12, 2023CLIA 34D2330581 · Waiver
10215 MCINTYRE RIDGE RD, SUITE 101, PINEVILLE, NC 28134(301) 204-3819 Get Directions Write a Review

NPPES record last updated: January 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Prime Specialty Pharmacy NPPES

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

PRIME SPECIALTY PHARMACY (NPI 1316651482) is a healthcare organization registered as a pharmacy in Pineville, North Carolina and active in the NPI registry since January 2023. The organization holds a CLIA Waiver certificate valid through September 17, 2027 and lists Jignesh Mandavia, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1316651482
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NamePRIME SPECIALTY PHARMACY
Location Address10215 MCINTYRE RIDGE RD, SUITE 101Pineville, NC 28134
Mailing Address9622 Pensive LnWaxhaw, NC 28173-3800
Organization SubpartNo
Authorized OfficialJignesh MandaviaPharmacist · (301) 204-3819
Enumeration DateJanuary 12, 2023
NPPES CertifiedJanuary 5, 2023
NPI 1316651482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
10215 MCINTYRE RIDGE RD, Pineville, NC 28134

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2330581

Prime Specialty Pharmacy LLC · Pineville, NC
Active · expires Sep 17, 2027
CLIA Number34D2330581
Laboratory TypePharmacy
Certificate Effective DateSeptember 18, 2025
Certificate Expiration DateSeptember 17, 2027
Laboratory DirectorJignesh Mandavia
Laboratory Phone(704) 831-9212
Laboratory LocationPrime Specialty Pharmacy LLC10215 Mcintyre Ridge Rd Ste 101, Pineville, NC 28134
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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.

Pharmacist
10215 MCINTYRE RIDGE RD, 101
PINEVILLE, NC 28134
Dentist (General Practice)
10215 MCINTYRE RIDGE RD, STE 104
PINEVILLE, NC 28134

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 Prime Specialty Pharmacy's NPI number?

The NPI number for Prime Specialty Pharmacy is 1316651482. It was assigned to this organization in the NPPES registry on January 12, 2023.

Where is Prime Specialty Pharmacy located?

Prime Specialty Pharmacy is located at 10215 Mcintyre Ridge Rd Suite 101, Pineville, NC 28134. The listed phone number is (301) 204-3819.

What is Prime Specialty Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Prime Specialty Pharmacy hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2330581) is associated with this NPI, valid through September 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Prime Specialty Pharmacy accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 47 other insurers list Prime Specialty Pharmacy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Prime Specialty Pharmacy was last updated on January 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.