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CAROLINAS MEDICAL CENTER NPI 1427164052


NPI Information

NPI: 1427164052
Provider Name: CAROLINAS MEDICAL CENTER

Doing Business As: ATRIUM HEALTH PHARMACY NORTHPARK

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

CLIA Number: 34D2104264

Address:
251 EASTWAY DR
CHARLOTTE, NC
ZIP 28213
Phone: (704) 446-0902
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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 1427164052. The provider is registered as an organization entity type.
The provider Is Doing Business As Atrium Health Pharmacy Northpark.

The provider's business location address is:

251 EASTWAY DR
CHARLOTTE, NC
ZIP 28213-103
Phone: (704) 446-0902
Fax: (704) 446-0968

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 34D2104264 - community clinic 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
17Z1138MEDICAIDSOUTH CAROLINA
23435193OTHERNABP#
3608983MEDICAIDNORTH 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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