NPIMap

Organization Active NPI

University of North Carolina at Chapel Hill

  • Specialty Pharmacy
  • Chapel Hill, NC
National Provider Identifier
1164634952
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
10016 Issued in NC
Legal business name
UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL
Practice address
6340 Quadrangle Drive
Suite 170
Chapel Hill, NC 27517-8077
Phone
(919) 843-9255
Fax
(919) 843-9210
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Authorized official

Name
Jason Wittes, PHARMDNPI 1518276583
Title
Director of Pharmacy Programs
Phone
(919) 843-9255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Specialty Pharmacy 3336S0011X 10016 NC Primary

Addresses

Primary practice location

6340 Quadrangle Drive
Suite 170
Chapel Hill, NC 27517-8077

Mailing address

6340 Quadrangle Drive
Suite 170
Chapel Hill, NC 27517-8077
Phone (919) 843-9255

Other identifiers 2

IdentifierTypeStateIssuer
0685536MedicaidNC
2067213OtherPK

Other names 1

  • UNC HEMOPHILIA TREATMENT CENTER PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110928000892 NC Part B Supplier - Pharmacy 3678744307 Practice locations: Chapel Hill, NC

National Provider Directory

National Provider Directory

Locations

1st
Fl OLD INFIRMARY W1022
Chapel Hill, NC 27599
Phone (919) 843-9204

6340 Quadrangle Dr
Ste 170
Chapel Hill, NC 27517
Phone (919) 843-9204

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1164634952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6340 QUADRANGLE DRIVE",
            "address_2": "SUITE 170",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275178077",
            "telephone_number": "919-843-9255",
            "fax_number": "919-843-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6340 QUADRANGLE DRIVE",
            "address_2": "SUITE 170",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275178077",
            "telephone_number": "919-843-9255",
            "fax_number": "919-843-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "WITTES",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY PROGRAMS",
        "authorized_official_telephone_number": "919-843-9255",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NC",
            "license": "10016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0685536",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2067213",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNC HEMOPHILIA TREATMENT CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UNC HEMOPHILIA TREATMENT CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.