South Park Family Pharmacy Llc is an authorized DME supplier for medicare equipments and products.
South Park Family Pharmacy Llc is a Community/Retail Pharmacy in Winston-salem, North Carolina. It is located at 1215 A West Clemmonsville Road, Winston-salem and it's customer support contact number is 336-853-2744. The authorized person of South Park Family Pharmacy Llc is Russell Warren Patterson, PHARM D. who is Member/manager of the pharmacy and his contact number is 336-853-2744.South Park Family Pharmacy Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. South Park Family Pharmacy Llc is 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.
Pharmacy Details:
South Park Family Pharmacy Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
South Park Family Pharmacy Llc
Type:
Community/Retail Pharmacy
Location:
1215 A West Clemmonsville Road, Winston-salem, North Carolina, 27127-4790
Phone:
336-853-2744
Fax:
336-853-5915
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Russell Warren Patterson
Credentials:
PHARM D.
Position:
Member/manager
Contact Number:
336-853-2744
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1295173573
NPI Enumeration Date:
10 Jun, 2013
NPI Last Update On:
14 Mar, 2023
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for South Park Family Pharmacy Llc are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
Primary
Pharmacy
11570
North Carolina
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1295173573
Medicaid
North Carolina
Medicare Enrollment:
South Park Family Pharmacy Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
1052637469
O20150302002536
South Park Family Pharmacy Llc
PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)
Products Available:
South Park Family Pharmacy Llc has following products available for sale under medicare.
Products
Blood Glucose Monitors & Supplies: Non-mail Order
Canes & Crutches
Diabetic Shoes & Inserts: Custom Fabricated
Diabetic Shoes & Inserts: Prefabricated
Nebulizer Equipment & Supplies
Orthoses: Off-the-shelf
Ostomy Supplies
Walkers
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1107 W Market Center Dr, High Point, North Carolina
Zip:
27260-1642
Phone Number:
336-817-6794
Fax Number:
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Patients can reach South Park Family Pharmacy Llc at 1215 A West Clemmonsville Road, Winston-salem, North Carolina or can call on customer care at 336-853-2744.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
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