NPIMap

Organization Active NPI

Guilford County Department of Public Health

  • Clinic Pharmacy
  • Greensboro, NC
National Provider Identifier
1104026673
Registry record updated Jul 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
09024 Issued in NC
Legal business name
GUILFORD COUNTY DEPARTMENT OF PUBLIC HEALTH
Practice address
201 N Eugene St
Pharmacy Guilford Center
Greensboro, NC 27401-2221
Phone
(336) 641-7777
Fax
(336) 641-6971
NPI assigned
Jul 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2007

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

Authorized official

Name
Harvette C Jenkins, MD
Title
Medical Director
Phone
(336) 641-7777

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X
State or Local Public Health Clinic/Center 261QP0905X
Clinic Pharmacy 3336C0002X 09024 NC Primary

Addresses

Primary practice location

201 N Eugene St
Pharmacy Guilford Center
Greensboro, NC 27401-2221

Mailing address

201 N Eugene St
Greensboro, NC 27401-2221
Phone (336) 641-7777

Other identifiers 4

IdentifierTypeStateIssuer
3427829OtherNCPDP GUILFORD CENTER
AS34604210001OtherNCCIGNA HEALTHCARE
01-07677OtherNCUNITED HEALTHCARE
07124OtherNCBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory
Tax ID family
Guilford Co DPT Pub HLT26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185148800000",
    "number": "1104026673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N EUGENE ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012221",
            "telephone_number": "336-641-7777",
            "fax_number": "336-641-6971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N EUGENE ST",
            "address_2": "PHARMACY GUILFORD CENTER",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012221",
            "telephone_number": "336-641-7777",
            "fax_number": "336-641-6971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUILFORD COUNTY DEPARTMENT OF PUBLIC HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "HARVETTE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "336-641-7777",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NC",
            "license": "09024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP GUILFORD CENTER",
            "identifier": "3427829",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "AS34604210001",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "01-07677",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "07124",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.