NPIMap

Organization Active NPI

Wake Forest University

  • Institutional Pharmacy
  • Winston-Salem, NC
National Provider Identifier
1285717694
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
05454 Issued in NC
Legal business name
WAKE FOREST UNIVERSITY
Doing business as
WAKE FOREST UNIVERSITY STUDENT HEALTH
Practice address
LWR Level Reynolds Gym Wingate Rd
Winston-Salem, NC 27109
Phone
(336) 758-5218
Fax
(336) 758-6054
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Authorized official

Name
Cecil Price, MD
Title
Med Dir
Phone
(336) 758-5218

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Institutional Pharmacy 3336I0012X 05454 NC Primary

Addresses

Primary practice location

LWR Level Reynolds Gym Wingate Rd
Winston-Salem, NC 27109

Mailing address

PO Box 7386
Winston Salem, NC 27109-6233

Other identifiers 1

IdentifierTypeStateIssuer
2068811OtherPK

Other names 1

  • WAKE FOREST UNIVERSITY STUDENT HEALTH Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wake Forest Cardiac Rehab3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1285717694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7386",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271096233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LWR LEVEL REYNOLDS GYM WINGATE RD",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "27109",
            "telephone_number": "336-758-5218",
            "fax_number": "336-758-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKE FOREST UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "CECIL",
        "authorized_official_title_or_position": "MED DIR",
        "authorized_official_telephone_number": "336-758-5218",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "NC",
            "license": "05454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2068811",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WAKE FOREST UNIVERSITY STUDENT HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winston-Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; 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.