Provider Demographics
NPI:1538716113
Name:KARANY'S VERACITY COMPANY,LLC
Entity type:Organization
Organization Name:KARANY'S VERACITY COMPANY,LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAOUD
Authorized Official - Middle Name:A
Authorized Official - Last Name:KORANY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-776-1695
Mailing Address - Street 1:16515 CABARRUS RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28227-6461
Mailing Address - Country:US
Mailing Address - Phone:980-296-3784
Mailing Address - Fax:980-949-6569
Practice Address - Street 1:1816 E ARBORS DR STE 440
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-2666
Practice Address - Country:US
Practice Address - Phone:980-296-3784
Practice Address - Fax:980-949-6569
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-20
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy
No291U00000XLaboratoriesClinical Medical Laboratory
No333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1538716113Medicaid