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TRIAD ADULT AND PEDIATRIC MEDICINE INC NPI 1720377724


NPI Information

NPI: 1720377724
Provider Name: TRIAD ADULT AND PEDIATRIC MEDICINE INC

Doing Business As: TRIAD ADULT AND PEDIATRIC MED- GREENSBORO PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
1002 S EUGENE ST
GREENSBORO, NC
ZIP 27406
Phone: (336) 355-9909
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TRIAD ADULT AND PEDIATRIC MEDICINE INC is a community/retail pharmacy pharmacy in Greensboro, NC. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. TRIAD ADULT AND PEDIATRIC MEDICINE INC NPI is 1720377724. The provider is registered as an organization entity type.
The provider Is Doing Business As Triad Adult And Pediatric Med- Greensboro Pharmacy.

The provider's business location address is:

1002 S EUGENE ST
GREENSBORO, NC
ZIP 27406-308
Phone: (336) 355-9909
Fax: (336) 763-2972

The provider's authorized official is Amy Hallisey .
The authorized official title is Pharmacy Director and has the following contact phone number (336) 355-9908.

The enumeration date for this NPI number is 3/31/2011 and was last updated on 6/24/2015.


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 PharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy10670NORTH CAROLINAYes

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
12135902OTHERPK
2344045BMEDICAIDNORTH 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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