Active NPI
Guardian Pharmacy of the Piedmont Carolinas
- Long Term Care Pharmacy
- Charlotte, NC
National Provider Identifier
1528299252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q523330001 | Other | NC | MEDICARE FOR MASS IMMUNIZATION |
Other names 1
- Guardian Pharmacy of the Piedmont
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160215001588 | NC | Part B Supplier - Mass Immunization (Roster Biller Only) | 7618168089 | Practice locations: Charlotte, NC |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Geriatric Pharmacist
- Charlotte, NC
- NPI 1649592320
-
- Pharmacist
- Charlotte, NC
- NPI 1508740069
-
- Registered Nurse
- Inman, SC
- NPI 1699630673
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.