Clinic Pharmacy of Durham Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

CLINIC PHARMACY OF DURHAM INC

Practice address

2726 Croasdaile Dr Ste 104
Durham, NC 27705-2500

Phone

(919) 383-7495

Fax

(919) 383-7955

NPI assigned

Sep 30, 2006

Organization subpart

No

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

Authorized official

Name

Ned Griffin, PHARMDNPI 1689843617

Title

President

Phone

(919) 383-7495

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• CLINIC PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ned Wilson Griffin, PHARM.D.

  • Pharmacist
  • Durham, NC
  • NPI 1689843617
  NPD Authorized official
• Jeffrey Warren Stillwagon, RPH

  • Pharmacist
  • Durham, NC
  • NPI 1508039710
  NPD (past)

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585180800000",
    "number": "1053404483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2726 CROASDAILE DR",
            "address_2": "STE 104",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052578",
            "telephone_number": "919-383-7495",
            "fax_number": "919-383-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2726 CROASDAILE DR STE 104",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052500",
            "telephone_number": "919-383-7495",
            "fax_number": "919-383-7955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIC PHARMACY OF DURHAM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "NED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-383-7495",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NC",
            "license": "03880",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2068547",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0325886",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLINIC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CLINIC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brendan Christopher Cline, MD
• Leslie Cline, CRNA
• Rachel Holston Cline, PA
• Clinic Pharmacy
• Clinic Pharmacy Croasdaile, LLC
• Clinical Community Solutions LLC
• Chelsea Marley Clinton, M.D.
• Lauren Dionne Clise, PA-C
• Kelly Cloninger
• Jeylan Suzan Close, MD

• Community/Retail Pharmacy in Durham, NC
• Providers in Durham, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.