NPIMap

Novant Health New Hanover Regional Medical Center LLC

Organization Active NPI Pharmacy · Wilmington, NC

NPI 1053908509 · NPPES record last updated Dec 30, 2020

Key facts

NPI
1053908509
Entity type
Organization (NPI type 2)
Primary specialty
Pharmacy 333600000X
Legal business name
NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER LLC
Practice address
2131 S 17TH St
Wilmington, NC 28401-7407
Phone
(910) 667-5147
Fax
(910) 815-5189
NPI assigned
Dec 30, 2020
Organization subpart
Yes
Parent organization (as reported)
NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER LLC

Authorized official

Name
Jon Kevin Griffin
Title
SVP Financial Plan & Analysis
Phone
(704) 384-4182

Corporate family (same tax ID) 18

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

National Provider Directory

Tax ID family
Novant Health Heart Vascul (19 organizations share this tax ID)
Part of
Novant Health Heart Vascul

Specialties & licenses

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

Addresses

Primary practice location

2131 S 17TH St
Wilmington, NC 28401-7407

Mailing address

101 N Cherry St Ste 600
Winston Salem, NC 27101-4013
Phone (336) 277-1604

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 30, 2020.

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609286400000",
    "number": "1053908509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N CHERRY ST STE 600",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271014013",
            "telephone_number": "336-277-1604",
            "fax_number": "336-277-9584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017407",
            "telephone_number": "910-667-5147",
            "fax_number": "910-815-5189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER LLC",
        "enumeration_date": "2020-12-30",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "SVP FINANCIAL PLAN & ANALYSIS",
        "authorized_official_telephone_number": "704-384-4182"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

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Sources for this page

Verify at the official NPI Registry.