Active NPI
Pruitthealth Pharmacy Services - Durham, Inc.
- Community/Retail Pharmacy
- Durham, NC
National Provider Identifier
1154897189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- PRUITTHEALTH PHARMACY SERVICES - DURHAM, INC.
- Practice address
- 4024 Stirrup Creek Drive
Suite 120
Durham, NC 27703-8971 - Phone
- (800) 390-2906
- Fax
- (919) 484-9009
- NPI assigned
- Oct 17, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Neil L. Pruitt Jr.
- Title
- Chairman and Ceo
- Phone
- (770) 279-6200
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
4024 Stirrup Creek Drive
Suite 120
Durham, NC 27703-8971
Mailing address
1626 Jeurgens CT
Norcross, GA 30093-2219
Phone (678) 533-6382
Other names 1
- PruittHealth Pharmacy Services - Durham
National Provider Directory
National Provider DirectoryLocations
4022 Stirrup Creek Dr
Ste 325
Durham, NC 27703
Phone (800) 390-2905
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Cary, NC
- NPI 1689943862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1622678400000",
"number": "1154897189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1626 JEURGENS CT",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300932219",
"telephone_number": "678-533-6382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4024 STIRRUP CREEK DRIVE",
"address_2": "SUITE 120",
"city": "DURHAM",
"state": "NC",
"postal_code": "277038971",
"telephone_number": "800-390-2906",
"fax_number": "919-484-9009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRUITTHEALTH PHARMACY SERVICES - DURHAM, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-17",
"last_updated": "2021-06-03",
"certification_date": "2021-06-03",
"status": "A",
"authorized_official_last_name": "PRUITT",
"authorized_official_first_name": "NEIL",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "CHAIRMAN AND CEO",
"authorized_official_telephone_number": "770-279-6200",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PruittHealth Pharmacy Services - Durham",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "PruittHealth Pharmacy Services - Durham",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Durham, NC
- Erin Michelle Pruett, LMHC
- Ben Pruitt, LCSWA, MDIV
- Scott Knowles Pruitt, M.D., PH.D.
- Pruitthealth - Carolina Point, LLC
- Pruitthealth - Durham, LLC
- Pruitthealth Pharmacy Services - Durham, Inc.
- Brandi Jennifer Pryor Handford
- Emily Przybylowski, MD
- Psychiatric & Psychological Associates of Durham, PLLC
- Psychotherapeutic Community Services Assoc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.