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PORT HEALTH SERVICES NPI 1164033981


NPI Information

NPI: 1164033981
Provider Name: PORT HEALTH SERVICES
Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

CLIA Number: 34D2142995

Address:
2602 COURTIER DR
GREENVILLE, NC
ZIP 27834
Phone: (252) 752-2971
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PORT HEALTH SERVICES is a long term care pharmacy pharmacy in Greenville, 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 1164033981. The provider is registered as an organization entity type.

The provider's business location address is:

2602 COURTIER DR
GREENVILLE, NC
ZIP 27834-818
Phone: (252) 752-2971
Fax: (252) 757-3172

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 34D2142995 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/14/2020 and was last updated on 5/15/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0002XPharmacyClinic PharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
33336I0012XPharmacyInstitutional PharmacyNo
43336S0011XPharmacySpecialty PharmacyNo
53336L0003XPharmacyLong 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: 4/28/2024

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.