Active NPI
Premise Health
Doing business as The Living Well Health Center - Downtown Plaza
- Pharmacy
- Winston Salem, NC
National Provider Identifier
1023469228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 12513
- Legal business name
- PREMISE HEALTH
- Doing business as
- The Living Well Health Center - Downtown Plaza
- Practice address
- 401 N Main St
Winston Salem, NC 27101-3804 - Phone
- (336) 741-5106
- NPI assigned
- Jun 29, 2016
- Last updated
- Jun 29, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joyce Jensen
- Title
- Director Site Operations
- Phone
- (904) 401-1175
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 12513 | NC | Primary |
| Clinic Pharmacy | 3336C0002X |
Addresses
Primary practice location
401 N Main St
Winston Salem, NC 27101-3804
Mailing address
475 Summit Square Blvd
Winston Salem, NC 27105-1485
Phone (336) 377-3979
Other names 1
- The Living Well Health Center - Downtown Plaza
National Provider Directory
National Provider Directory- Tax ID family
- Premise Health
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba The Living Well Health Center - Tobaccoville
- Pharmacy
- Tobaccoville, NC
- NPI 1114378312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1467158400000",
"number": "1023469228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 SUMMIT SQUARE BLVD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271051485",
"telephone_number": "336-377-3979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 N MAIN ST",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271013804",
"telephone_number": "336-741-5106"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMISE HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-29",
"last_updated": "2016-06-29",
"status": "A",
"authorized_official_last_name": "JENSEN",
"authorized_official_first_name": "JOYCE",
"authorized_official_title_or_position": "DIRECTOR SITE OPERATIONS",
"authorized_official_telephone_number": "904-401-1175"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NC",
"license": "12513",
"primary": true
},
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Living Well Health Center - Downtown Plaza",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Winston Salem, NC
- Preferred Pain Management, P.a,
- Robert Bruno Preli, MD
- Premier Foot & Ankle PLLC
- Premier Vision Optometry
- Premiere Counseling Professionals
- Premise Health of North Carolina Medical PC (BCBSNC Employee Health Center madison Park)
- Premise Health of North Carolina Medical PC (Truist Winston Salem)
- Premise Health of North Carolina Medical, P.C (RJ Reynolds Taylor Brothers)
- Premise Health of North Carolina Medical, P.C (RAI Medical)
- Premise Health of North Carolina Medical, P.C (RAI Medical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.