Organization Active NPI

Guardian Pharmacy of the Piedmont Carolinas

  • Long Term Care Pharmacy
  • Charlotte, NC
National Provider Identifier
1528299252
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
GUARDIAN PHARMACY OF THE PIEDMONT CAROLINAS
Doing business as
Guardian Pharmacy of the Piedmont
Practice address
2915 Whitehall Park Dr Ste 100
Charlotte, NC 28273-3580
Phone
(845) 545-8800
NPI assigned
Jul 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. David Whitlock
Title
President
Phone
(845) 545-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

2915 Whitehall Park Dr Ste 100
Charlotte, NC 28273-3580

Mailing address

Guardian Pharmacy of Piedmont Dept 2382
P.O. Box 11407
Birmingham, AL 35246-2382
Phone (404) 810-0089

Other identifiers 1

IdentifierTypeStateIssuer
Q523330001OtherNCMEDICARE FOR MASS IMMUNIZATION

Other names 1

  • Guardian Pharmacy of the Piedmont Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160215001588 NC Part B Supplier - Mass Immunization (Roster Biller Only) 7618168089 Practice locations: Charlotte, NC

National Provider Directory

National Provider Directory

Locations

2915 Whitehall Park Dr
Ste 100
Charlotte, NC 28273
Phone (704) 248-9950

9731 Southern Pine Blvd
Ste G
Charlotte, NC 28273
Phone (704) 248-9950

Practitioners & affiliated clinicians

Practitioners 3

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": "1248825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1528299252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GUARDIAN PHARMACY OF PIEDMONT DEPT 2382",
            "address_2": "P.O. BOX 11407",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352462382",
            "telephone_number": "404-810-0089",
            "fax_number": "404-810-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 WHITEHALL PARK DR STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282733580",
            "telephone_number": "845-545-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN PHARMACY OF THE PIEDMONT CAROLINAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WHITLOCK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-545-8800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE FOR MASS IMMUNIZATION",
            "identifier": "Q523330001",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guardian Pharmacy of the Piedmont",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.