PIEDMONT HEALTH SERVICES INC NPI 1063538742

NPI Information

NPI: 1063538742
Provider Name: PIEDMONT HEALTH SERVICES, INC

Doing Business As: CHARLES DREW COMMUNITY HEALTH CENTER PHARMACY

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
221 N GRAHAM HOPEDALE RD
BURLINGTON, NC
ZIP 27217
Phone: (336) 532-0414
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PIEDMONT HEALTH SERVICES, INC is a clinic pharmacy pharmacy in Burlington, NC. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. PIEDMONT HEALTH SERVICES, INC NPI is 1063538742. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Charles Drew Community Health Center Pharmacy.

The provider's business location address is:

221 N GRAHAM HOPEDALE RD
BURLINGTON, NC
ZIP 27217-971
Phone: (336) 532-0414
Fax: (336) 570-3752

The provider's authorized official is Lydia F. Mason .
The authorized official title is Cfo and has the following contact phone number (919) 933-8494.

The enumeration date for this NPI number is 3/22/2007 and was last updated on 3/7/2023.

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
1	183500000X	Pharmacist		15707	NORTH CAROLINA	No
2	3336C0002X	Pharmacy	Clinic Pharmacy	06027	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	34-4515B	MEDICAID	NORTH CAROLINA
2	06027	OTHER	NORTH CAROLINA	NC BOP PERMIT #
3	3432060	OTHER	NORTH CAROLINA	NABP #
4	NC AC 0000 1130	OTHER	NORTH CAROLINA	NC CONTROLLED SUBSTANCE #

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

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