Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

South Park Family Pharmacy LLC

Organization Pharmacy · NPI 1295173573

South Park Family Pharmacy LLC is a Pharmacy in Winston Salem, North Carolina. Licensed in North Carolina. Registered with an NPI since 2013.

Licensed in
NC
In the registry since
2013
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1215 A West Clemmonsville Rd
Winston Salem, NC 27127-4790
Phone: (336) 853-2744
Fax: (336) 853-5915
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X
Pharmacy Taxonomy 333600000X · Licence 11570 (NC)

Record details

NPI number1295173573
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Russell Patterson — Member/Manager · (336) 817-6794
Other names South Park Family Pharmacy; South Park Family Pharmacy
NPI enumeratedJune 10, 2013
Last updated in NPPESJune 18, 2026
Certification dateJune 18, 2026
Mailing address1107 W Market Center Dr, High Point, NC 27260-1642

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