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PORT HEALTH SERVICES NPI 1942812326


NPI Information

NPI: 1942812326
Provider Name: PORT HEALTH SERVICES
Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

CLIA Number: 34D2236873

Address:
1309 TATUM DR
NEW BERN, NC
ZIP 28560
Phone: (252) 672-8742
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PORT HEALTH SERVICES is a long term care pharmacy pharmacy in New Bern, NC. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. PORT HEALTH SERVICES NPI is 1942812326. The provider is registered as an organization entity type.

The provider's business location address is:

1309 TATUM DR
NEW BERN, NC
ZIP 28560-314
Phone: (252) 672-8742
Fax: (252) 638-3742

The provider's authorized official is Brett Beavers .
The authorized official title is Credentialing Manager and has the following contact phone number (919) 210-7661.

The CLIA number assigned to this NPI record is 34D2236873 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/18/2020 and was last updated on 5/24/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0002XPharmacyClinic PharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyNo
43336I0012XPharmacyInstitutional PharmacyNo
53336S0011XPharmacySpecialty PharmacyNo
63336L0003XPharmacyLong Term Care PharmacyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.