GUARDIAN PHARMACY OF EASTERN NC LLC NPI 1730478827

NPI Information

NPI: 1730478827
Provider Name: GUARDIAN PHARMACY OF EASTERN NC, LLC

Doing Business As: SOUTHERN PHARMACY SERVICES WINSTON-SALEM

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
1031 E MOUNTAIN ST BLDG 319
KERNERSVILLE, NC
ZIP 27284
Phone: (866) 768-8479
Get Directions

GUARDIAN PHARMACY OF EASTERN NC, LLC is a long term care pharmacy pharmacy in Kernersville, 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. GUARDIAN PHARMACY OF EASTERN NC, LLC NPI is 1730478827. The provider is registered as an organization entity type.
The provider Is Doing Business As Southern Pharmacy Services Winston-salem.

The provider's business location address is:

1031 E MOUNTAIN ST BLDG 319
KERNERSVILLE, NC
ZIP 27284-998
Phone: (866) 768-8479

The provider's authorized official is Chad Terry .
The authorized official title is Co-president and has the following contact phone number (866) 768-8479.

The enumeration date for this NPI number is 3/30/2011 and was last updated on 10/24/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies				No
2	3336L0003X	Pharmacy	Long Term Care Pharmacy	10965	NORTH CAROLINA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2130222	OTHER		PK

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: 5/5/2024

NPI Synchronization or Removal

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