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CAROLINAS MEDICAL CENTER NPI 1366558959


NPI Information

NPI: 1366558959
Provider Name: CAROLINAS MEDICAL CENTER

Doing Business As: CMC-MYERS PARK PHARMACY

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

CLIA Number: 34D0244052

Address:
1350 S KINGS DR STE 101
CHARLOTTE, NC
ZIP 28207
Phone: (704) 446-1400
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CAROLINAS MEDICAL CENTER is a clinic pharmacy pharmacy in Charlotte, 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. CAROLINAS MEDICAL CENTER NPI is 1366558959. The provider is registered as an organization entity type.
The provider Is Doing Business As Cmc-myers Park Pharmacy.

The provider's business location address is:

1350 S KINGS DR STE 101
CHARLOTTE, NC
ZIP 28207-134
Phone: (704) 446-1400
Fax: (704) 446-1410

The provider's authorized official is Don Mabe .
The authorized official title is Chief Pharmacy Officer and has the following contact phone number (704) 512-6967.

The CLIA number assigned to this NPI record is 34D0244052 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/23/2006 and was last updated on 9/27/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0002XPharmacyClinic PharmacyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13427588OTHERNCPDP
27Z1135MEDICAIDSOUTH CAROLINA
30607556MEDICAIDNORTH CAROLINA

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: 4/28/2024

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