MEDICARE: MORGAN STREET PHARMACY LLC

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	3336L0003X	Long Term Care Pharmacy

General Provider Information

NPI Number	:	1912850785
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MORGAN STREET PHARMACY LLC

Provider Business Mailing Address
First Line	:	927 W MORGAN ST STE 100
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27603-2575
Country	:	US
Telephone Number	:	919-703-0154
Fax Number	:	919-703-0154

Provider Business Practice Location Address
First Line	:	927 W MORGAN ST STE 100
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27603-2575
Country	:	US
Telephone Number	:	919-703-0154
Fax Number	:	919-703-0154

Authorized Official
Title or Position	:	OWNER
Name	:	SENTHILVELAN RADHAKRISHNAN
Credential	:
Telephone Number	:	919-703-0154

Provider Enumeration Date	:	02/19/2026
Last Update Date	:	02/19/2026

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