Organization Active NPI

North Carolina Specialty Hospital Pharmacy Dept.

  • Pharmacy
  • Durham, NC
National Provider Identifier
1588705388
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
07837 Issued in NC
Legal business name
NORTH CAROLINA SPECIALTY HOSPITAL PHARMACY DEPT.
Practice address
3916 Ben Franklin Boulevard
Durham, NC 27704-0819
Phone
(919) 956-9300
Fax
(919) 595-8467
NPI assigned
Feb 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Ronald Winstead, R.PH.
Title
Pharmacy Director
Phone
(919) 956-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 07837 NC Primary

Addresses

Primary practice location

3916 Ben Franklin Boulevard
Durham, NC 27704-0819

Mailing address

3916 Ben Franklin Boulevard
PO Box 15819
Durham, NC 27704-0819
Phone (919) 956-9300

Other identifiers 1

IdentifierTypeStateIssuer
0326544MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
North Carolina Specialty Hospital LLC3 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.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588705388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3916 BEN FRANKLIN BOULEVARD",
            "address_2": "PO BOX 15819",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277040819",
            "telephone_number": "919-956-9300",
            "fax_number": "919-595-8467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3916 BEN FRANKLIN BOULEVARD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277040819",
            "telephone_number": "919-956-9300",
            "fax_number": "919-595-8467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CAROLINA SPECIALTY HOSPITAL PHARMACY DEPT.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WINSTEAD",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "919-956-9300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NC",
            "license": "07837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0326544",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.