Organization Active NPI

Pharmquest Life Sciences, LLC

  • Research Clinic/Center
  • Greensboro, NC
National Provider Identifier
1316674948
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Research Clinic/CenterTaxonomy code 261QR1100X
Legal business name
PHARMQUEST LIFE SCIENCES, LLC
Practice address
2006 N Church St
Greensboro, NC 27405-5634
Phone
(336) 763-6968
NPI assigned
Aug 3, 2022
Last updated
Aug 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Authorized official

Name
Jerry O'Neil Williams, PHARMD
Title
Manager
Phone
(336) 255-0664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Research Clinic/Center 261QR1100X Primary

Addresses

Primary practice location

2006 N Church St
Greensboro, NC 27405-5634

Mailing address

2006 N Church St
Greensboro, NC 27405-5634
Phone (336) 763-6968

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659484800000",
    "number": "1316674948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 N CHURCH ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055634",
            "telephone_number": "336-763-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 N CHURCH ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055634",
            "telephone_number": "336-763-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMQUEST LIFE SCIENCES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "O'NEIL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "336-255-0664",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 3, 2022; 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.