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NORTH CAROLINA BAPTIST HOSPITAL NPI 1316079247


NPI Information

NPI: 1316079247
Provider Name: NORTH CAROLINA BAPTIST HOSPITAL

Doing Business As: COMPREHENSIVE CANCER CENTER PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 34D2193725

Address:
MEDICAL CENTER BLVD
1ST FLOOR COMP CNCR CTR BLDG
WINSTON SALEM, NC
ZIP 27157
Phone: (336) 713-6808
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NORTH CAROLINA BAPTIST HOSPITAL is a community/retail pharmacy pharmacy in Winston Salem, 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. NORTH CAROLINA BAPTIST HOSPITAL NPI is 1316079247. The provider is registered as an organization entity type.
The provider Is Doing Business As Comprehensive Cancer Center Pharmacy.

The provider's business location address is:

MEDICAL CENTER BLVD
1ST FLOOR COMP CNCR CTR BLDG
WINSTON SALEM, NC
ZIP 27157-001
Phone: (336) 713-6808
Fax: (336) 713-6800

The provider's authorized official is Regina H Schomberg .
The authorized official title is Director Of Pharmacy and has the following contact phone number (336) 716-3421.

The CLIA number assigned to this NPI record is 34D2193725 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/9/2007 and was last updated on 10/24/2019.


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
1333600000XPharmacy1027933SOUTH CAROLINANo
23336S0011XPharmacySpecialty Pharmacy0214001594VIRGINIANo
33336C0003XPharmacyCommunity/Retail Pharmacy08424NORTH 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
11316079247MEDICAIDNORTH CAROLINA
22070245OTHERPK

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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