Heritage Pharmacy Group LLC
NPI 1720576085 · Community/Retail Pharmacy · Concord, NC
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Heritage Pharmacy Group LLC is a Community/Retail Pharmacy organization in Concord, NC (NPI 1720576085).
Provider details
- NPI number
- 1720576085
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Ryan Delvaux, Managing Member/Owner(631) 374-1911
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
Other names (DBA / former)
- Doing business as
- Customrx Pharmacy
Registry dates
- Enumerated
- 2018-04-23
- Last updated
- 2026-01-16
- Certified
- 2026-01-16
Frequently asked questions
- What is Heritage Pharmacy Group LLC's NPI number?
- Heritage Pharmacy Group LLC's National Provider Identifier (NPI) is 1720576085, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Heritage Pharmacy Group LLC?
- Heritage Pharmacy Group LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Heritage Pharmacy Group LLC located?
- Heritage Pharmacy Group LLC's practice location on file with NPPES is 10099 Weddington Rd Ext, Ste 120, Concord, NC 28027.
- What is Heritage Pharmacy Group LLC's phone number?
- The practice phone number listed in the NPPES registry for Heritage Pharmacy Group LLC is (432) 553-0051.
- Does Heritage Pharmacy Group LLC accept Medicare?
- Heritage Pharmacy Group 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 Heritage Pharmacy Group LLC?
- The authorized official listed on Heritage Pharmacy Group LLC's NPPES record is Ryan Delvaux, Managing Member/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Heritage Pharmacy Group LLC's NPI active?
- Yes — Heritage Pharmacy Group LLC's NPI (1720576085) is active in the NPPES registry as of the last update on 2026-01-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.