Organization Active NPI

Broughton Hospital

  • Institutional Pharmacy
  • Morganton, NC
National Provider Identifier
1477619351
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
02601 Issued in NC
Legal business name
BROUGHTON HOSPITAL
Doing business as
BROUGHTON HOSPITAL PHARMACY
Practice address
1000 S Sterling St
Morganton, NC 28655-3938
Phone
(828) 433-2509
Fax
(828) 433-2180
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Authorized official

Name
Vivian Streater, BS PHARM
Title
Ceo
Phone
(828) 433-2325

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Institutional Pharmacy 3336I0012X 02601 NC Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

1000 S Sterling St
Morganton, NC 28655-3938

Mailing address

Central Billing Office DHHS Controllers Ofc
2021 Mail Service Center
Raleigh, NC 27699-0001
Phone (919) 733-9867

Other identifiers 2

IdentifierTypeStateIssuer
2066474OtherPK
340-4025MedicaidNC

Other names 1

  • BROUGHTON HOSPITAL PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Broughton Hospital3 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.

Locations

2021 Mail Service Ctr
Ofc Dhhs
Raleigh, NC 27699

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1477619351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CENTRAL BILLING OFFICE DHHS CONTROLLERS OFC",
            "address_2": "2021 MAIL SERVICE CENTER",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276990001",
            "telephone_number": "919-733-9867",
            "fax_number": "919-733-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S STERLING ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286553938",
            "telephone_number": "828-433-2509",
            "fax_number": "828-433-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROUGHTON HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "STREATER",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "828-433-2325",
        "authorized_official_credential": "BS PHARM"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "NC",
            "license": "02601",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2066474",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340-4025",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BROUGHTON HOSPITAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BROUGHTON HOSPITAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morganton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.