NPIMap

Organization Active NPI

East Carolina University Brody School of Medicine

  • Pharmacist
  • Greenville, NC
National Provider Identifier
1003231556
Registry record updated Feb 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
13064 Issued in NC
Legal business name
EAST CAROLINA UNIVERSITY BRODY SCHOOL OF MEDICINE
Practice address
1709 W 6TH St
Greenville, NC 27834-2803
Phone
(252) 744-5990
Fax
(252) 744-2813
NPI assigned
Feb 20, 2014
Last updated
Feb 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Paul Cunningham, MD
Title
Dean, Brody School of Medicine
Phone
(282) 744-2201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 13064 NC Primary

Addresses

Primary practice location

1709 W 6TH St
Greenville, NC 27834-2803

Mailing address

1709 W 6TH St
Greenville, NC 27834-2803
Phone (252) 744-5990

Other identifiers 1

IdentifierTypeStateIssuer
0745364MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
East Carolina University64 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1392854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392854400000",
    "number": "1003231556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 W 6TH ST",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278342803",
            "telephone_number": "252-744-5990",
            "fax_number": "252-744-2813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 W 6TH ST",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278342803",
            "telephone_number": "252-744-5990",
            "fax_number": "252-744-2813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST CAROLINA UNIVERSITY BRODY SCHOOL OF MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-20",
        "last_updated": "2014-02-20",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "DEAN, BRODY SCHOOL OF MEDICINE",
        "authorized_official_telephone_number": "282-744-2201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "13064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0745364",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.