MEDICARE: FIVE POINTS PHARMA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336L0003X	Long Term Care Pharmacy	12909	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2175969	OTHER		PK

General Provider Information

NPI Number	:	1518467638
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIVE POINTS PHARMA

Provider Business Mailing Address
First Line	:	PO BOX 1467
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28603-1467
Country	:	US
Telephone Number	:	828-780-8510
Fax Number	:	828-780-8520

Provider Business Practice Location Address
First Line	:	615 MAIN AVE SW
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28602-2601
Country	:	US
Telephone Number	:	828-780-8510
Fax Number	:	828-780-8520

Authorized Official
Title or Position	:	OWNER/ PIC
Name	:	KELLY HINES CROSS
Credential	:
Telephone Number	:	828-780-8510

Provider Enumeration Date	:	02/15/2018
Last Update Date	:	06/02/2026

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Directions to “FIVE POINTS PHARMA ” Practice Location

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