NPIMap

Organization Active NPI

CHS Pharmacy Services, Inc.

Doing business as Atrium Health Pharmacy Medical Center Plaza

  • Community/Retail Pharmacy
  • Charlotte, NC
National Provider Identifier
1033703905
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CHS PHARMACY SERVICES, INC.
Doing business as
Atrium Health Pharmacy Medical Center Plaza
Practice address
1001 Blythe Blvd Ste 201
Charlotte, NC 28203-5863
Phone
(704) 355-6900
Fax
(704) 355-6903
NPI assigned
Feb 22, 2021
Last updated
Aug 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Authorized official

Name
Gregory Byers
Title
Director of Pharmacy Services
Phone
(704) 512-3560

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X NU Primary
Specialty Pharmacy 3336S0011X NU

Addresses

Primary practice location

1001 Blythe Blvd Ste 201
Charlotte, NC 28203-5863

Mailing address

PO Box 603216
Charlotte, NC 28260-3216
Phone (704) 355-6900

Other identifiers 2

IdentifierTypeStateIssuer
1033703905MedicaidNC
7N3216MedicaidSC

Other names 1

  • Atrium Health Pharmacy Medical Center Plaza Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210715002963 NC DME Supplier - Pharmacy 9830407972 Practice locations: Charlotte, NC

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Atrium Health Pharmacy Medical Cent1001 Blythe Blvd, Charlotte, NC 28203-5863(704) 355-6900 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jul 27, 2015

National Provider Directory

National Provider Directory
Tax ID family
CHS Pharmacy Services Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1225 Harding Pl
Ste 1400
Charlotte, NC 28204
Phone (704) 468-3310

4400 Golf Acres Dr
Ste C
Charlotte, NC 28208
Phone (704) 512-6800

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627862400000",
    "number": "1033703905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603216",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603216",
            "telephone_number": "704-355-6900",
            "fax_number": "704-355-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 BLYTHE BLVD STE 201",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035863",
            "telephone_number": "704-355-6900",
            "fax_number": "704-355-6903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHS PHARMACY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A",
        "authorized_official_last_name": "BYERS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY SERVICES",
        "authorized_official_telephone_number": "704-512-3560"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033703905",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7N3216",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atrium Health Pharmacy Medical Center Plaza",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Atrium Health Pharmacy Medical Center Plaza",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.