Organization Active NPI

University of North Carolina at Greensboro

  • Clinic Pharmacy
  • Greensboro, NC
National Provider Identifier
1124170725
Registry record updated Feb 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
3031 Issued in NC
Legal business name
UNIVERSITY OF NORTH CAROLINA AT GREENSBORO
Practice address
107 Gray Drive
Room 147a
Greensboro, NC 27402-0001
Phone
(336) 334-3348
Fax
(336) 334-5343
NPI assigned
Jan 17, 2007
Organization subpart
Yes
Parent organization
UNIVERSITY OF NORTH CAROLINA AT GREENSBOROAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 3, 2015

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

Authorized official

Name
Doris Taylor Mosley, RPH
Title
Director of Pharmacy Services
Phone
(336) 334-3348

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X 3031 NC Primary

Addresses

Primary practice location

107 Gray Drive
Room 147a
Greensboro, NC 27402-0001

Mailing address

107 Gray Drive
Room 147a
Greensboro, NC 27402-0001
Phone (336) 334-3348

Other identifiers 1

IdentifierTypeStateIssuer
3422855OtherNCNCPDP NUMBER

Other names 1

  • Gove Student Health Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Uncg Psychology Clinic11 organizations share this tax ID, including this one
Part of
Uncg Psychology Clinic

Other organizations with this tax ID 10

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

Locations

107 Gray Dr
Rm 147A
Greensboro, NC 27412
Phone (336) 334-3348

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422921600000",
    "number": "1124170725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 GRAY DRIVE",
            "address_2": "ROOM 147A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274020001",
            "telephone_number": "336-334-3348",
            "fax_number": "336-334-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 GRAY DRIVE",
            "address_2": "ROOM 147A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274020001",
            "telephone_number": "336-334-3348",
            "fax_number": "336-334-5343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF NORTH CAROLINA AT GREENSBORO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF NORTH CAROLINA AT GREENSBORO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2015-02-03",
        "status": "A",
        "authorized_official_last_name": "MOSLEY",
        "authorized_official_first_name": "DORIS",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY SERVICES",
        "authorized_official_telephone_number": "336-334-3348",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NC",
            "license": "3031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "3422855",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gove Student Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 3, 2015; 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.