Organization Active NPI

Atlantic HLTH Resources Inc

  • Specialty Pharmacy
  • Davidson, NC
National Provider Identifier
1154475507
Registry record updated May 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
09263 Issued in NC
Legal business name
ATLANTIC HLTH RESOURCES INC
Practice address
582 Davidson Gateway Dr
Davidson, NC 28036-7009
Phone
(704) 895-6527
Fax
(704) 892-6040
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2010

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

Authorized official

Name
Craig Blaney, RPH
Title
Pic
Phone
(704) 895-6527

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X
Home Infusion Therapy Pharmacy 3336H0001X
Specialty Pharmacy 3336S0011X 09263 NC Primary

Addresses

Primary practice location

582 Davidson Gateway Dr
Davidson, NC 28036-7009

Mailing address

PO Box 1405
Davidson, NC 28036-1405

Other identifiers 1

IdentifierTypeStateIssuer
3407637OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • ATLANTIC HLTH RESOURCES INC Doing business as

National Provider Directory

National Provider Directory

Locations

582 Davidson Gateway Dr
Davidson, NC 28036
Phone (704) 895-6527

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275004800000",
    "number": "1154475507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1405",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280361405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "582 DAVIDSON GATEWAY DR",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280367009",
            "telephone_number": "704-895-6527",
            "fax_number": "704-892-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC HLTH RESOURCES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2010-05-28",
        "status": "A",
        "authorized_official_last_name": "BLANEY",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "704-895-6527",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NC",
            "license": "09263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3407637",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATLANTIC HLTH RESOURCES INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Davidson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; 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.