Old Monroe Pharmacy LLC
NPI 1396470209 · Community/Retail Pharmacy · Indian Trail, NC
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Old Monroe Pharmacy LLC is a Community/Retail Pharmacy organization in Indian Trail, NC (NPI 1396470209).
Provider details
- NPI number
- 1396470209
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Glenn Shields, Pharmacy Manager(704) 301-4651
Specialties & taxonomies
Suppliers
- Compounding Pharmacy3336C0004X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-07-24
- Last updated
- 2024-09-30
- Certified
- 2024-09-30
Frequently asked questions
- What is Old Monroe Pharmacy LLC's NPI number?
- Old Monroe Pharmacy LLC's National Provider Identifier (NPI) is 1396470209, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Old Monroe Pharmacy LLC?
- Old Monroe Pharmacy LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Old Monroe Pharmacy LLC located?
- Old Monroe Pharmacy LLC's practice location on file with NPPES is 4514 Old Monroe Rd Ste a, Indian Trail, NC 28079-5308.
- What is Old Monroe Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Old Monroe Pharmacy LLC is (704) 831-7895.
- Does Old Monroe Pharmacy LLC accept Medicare?
- Old Monroe Pharmacy LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Old Monroe Pharmacy LLC?
- The authorized official listed on Old Monroe Pharmacy LLC's NPPES record is Glenn Shields, Pharmacy Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Old Monroe Pharmacy LLC's NPI active?
- Yes — Old Monroe Pharmacy LLC's NPI (1396470209) is active in the NPPES registry as of the last update on 2024-09-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.