Easter Seals Ucp North Carolina & Virginia, Inc.
Organization Active NPI Pharmacy · New Bern, NC
NPI 1013769629 · NPPES record last updated Apr 5, 2024
Key facts
- NPI
- 1013769629
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- Legal business name
- EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC.
- Practice address
- 1309 Tatum Dr
New Bern, NC 28560-4314 - Phone
- (252) 672-2141
- NPI assigned
- Apr 5, 2024
- Organization subpart
- No
Authorized official
- Name
- Brett Turner Beavers
- Title
- Credentialing Manager
- Phone
- (919) 210-7661
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 14
Practitioners 122
-
Salina Agarwal, MD
-
Jolina Gayle Bild, LCMHCA
-
Elaina A Bogan, LCSW
-
Megan E Bogart, PSYCH-MH NP -C
-
Christina Shelby Boland, LCSW
-
Penny L. Brown, NP
-
Dwayne G. Bryant, M.D.
-
Christin Perry Dawson, MSW, LCSW
-
Charles Thomas Dixon, M.S., NCC, LPCA
-
Sally Katelyn Dixon, LCMHC-A
-
Sara Sanderson Dodgens, LCAS, LCSW
-
Amy D Drozda, MSW, LCSW
-
Charlene Edwards, LCAS
-
Christopher Noel Edwards, LCSW
-
Isaac Everette, LCMHC, CADC
-
Katherine Glass, MSW, LCSWA
-
Mandy W Gravitte, LCSW, LCAS-A
-
Benjamin Jared Grossnickle, LCSW-A, LCAS-A
-
Ashley Money Hamby, LCMHC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260115000407 | NC | Part B Supplier - Pharmacy | 7618161407 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Greenville, NC; New Bern, NC |
National Provider Directory
- Tax ID family
- Easter Seals Ucp North Carolina Virginia Inc
Locations
2563 Eric Ln
Ste K
Burlington, NC 27215
Phone (336) 223-0444
2505 S Mebane St
Ste B
Burlington, NC 27215
Phone (336) 223-0444
10150 Mallard Creek Rd
Ste 510
Charlotte, NC 28262
Phone (704) 333-8220
3305 16th Ave SE
Ste 205
Conover, NC 28613
3608 University Dr
Ste 101
Durham, NC 27707
Phone (919) 433-0170
433 W Main St
Durham, NC 27701
Phone (919) 433-0170
102 Medical Dr
Ste Ab
Elizabeth City, NC 27909
Phone (252) 335-0803
116 N Cool Spring St
Fayetteville, NC 28301
Phone (910) 500-6606
203 Government Cir
Greenville, NC 27834
Phone (252) 413-1600
4300 Sapphire Ct
Ste 110
Greenville, NC 27834
Phone (252) 830-7540
1101 Greenville Blvd SE
Greenville, NC 27858
Phone (252) 756-6533
600 Lynndale Ct
Ste D
Greenville, NC 27858
Phone (252) 353-8001
57635 NC Highway 12
Hatteras, NC 27943
Phone (252) 255-7001
824 Gum Branch Rd
Ste D
Jacksonville, NC 28540
110 Branchwood Dr
Ste B
Jacksonville, NC 28546
Phone (910) 219-3957
824 Gum Branch Rd
Ste C
Jacksonville, NC 28540
Phone (910) 347-9990
3801 Lake Boone Trl
Ste 100
Raleigh, NC 27607
Phone (919) 368-6373
1410 Commonwealth Dr
Ste 103A
Wilmington, NC 28403
Phone (910) 790-5921
2206 Wrightsville Ave
Ste A
Wilmington, NC 28403
Phone (910) 251-5326
1100 S Stratford Rd
Ste 303
Winston Salem, NC 27103
Phone (336) 757-4681
154 Beacon Dr
Ste 1
Winterville, NC 28590
Phone (252) 353-8001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Yes | ||
| Community/Retail Pharmacy | 3336C0003X | |||
| Long Term Care Pharmacy | 3336L0003X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
1309 Tatum Dr
New Bern, NC 28560-4314
Mailing address
5171 Glenwood Ave Ste 211
Raleigh, NC 27612-3266
Phone (919) 783-8898
Other providers in New Bern, NC
- Latoya Eason
- East Carolina Brace & Limb Co
- East Carolina Orthopaedics, PLLC
- East Carolina Orthopaedics, PLLC
- Easter Seals Ucp North Carolina & Virginia, Inc.
- Easter Seals Ucp North Carolina and Virginia
- Easter Seals Ucp North Carolina, Inc.
- Eastern Carolina Glaucoma and Vision Center
- Eastern Carolina Health Resources
- Eastern Carolina Internal Medicine PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.