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Mooresville Pharmacy LLC

Community/Retail Pharmacy in Mooresville, NC · enumerated 2006 · authorized official Douglas Balog, Manager Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1457413965

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Registry record

Entity type Organization (Type 2)
Legal business name Mooresville Pharmacy LLC
Other name <Unavail>
Practice address 108 Leaning Oak Dr, Mooresville, NC, 28117
Fax (704) 658-1184
Enumeration date Dec 14, 2006
Last updated in NPPES Mar 7, 2023

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers · License 7780 (NC) Primary

Authorized official

Name Douglas Balog
Title Manager Owner

Other identifiers

Identifier Type State Issuer
0497153 Medicaid NC -
3438757 Other - NCPDP
7703604 Medicaid NC -
7780 Other NC NORTH CAROLINA BOARD OF PHARMACY

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-03-07. Verify at npiregistry.cms.hhs.gov.
Where is Mooresville Pharmacy LLC located?
The practice location on file with NPPES is in Mooresville, NC.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-07.