Active NPI
Pruitthealth Pharmacy Services - Durham, Inc.
- Long Term Care Pharmacy
- Durham, NC
National Provider Identifier
1609823053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- PRUITTHEALTH PHARMACY SERVICES - DURHAM, INC.
- Practice address
- 4024 Stirrup Creek Dr Ste 325
Durham, NC 27703-9464 - Phone
- (919) 484-2229
- NPI assigned
- May 30, 2006
- Last updated
- Mar 5, 2026
- 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. Neil L Pruitt Jr.
- Title
- Chairman and Ceo
- Phone
- (770) 279-6200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | NU | Primary |
Addresses
Primary practice location
4024 Stirrup Creek Dr Ste 325
Durham, NC 27703-9464
Mailing address
1626 Jeurgens CT
Norcross, GA 30093-2219
Phone (678) 533-6382
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0326603 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240807001774 | NC | Part B Supplier - Pharmacy | 9436386083 | Practice locations: Durham, NC |
National Provider Directory
National Provider DirectoryLocations
4022 Stirrup Creek Dr
Ste 325
Durham, NC 27703
Phone (800) 390-2905
4024 Stirrup Creek Dr
Ste 120
Durham, NC 27703
Phone (678) 533-6382
4024 Stirrup Creek Dr
Ste 325
Durham, NC 27703
Phone (919) 484-2229
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Pharmacotherapy Pharmacist
- Durham, NC
- NPI 1265427389
-
- Pharmacist
- Cary, NC
- NPI 1689943862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772668800000",
"number": "1609823053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1626 JEURGENS CT",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300932219",
"telephone_number": "678-533-6382",
"fax_number": "770-931-5278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4024 STIRRUP CREEK DR STE 325",
"city": "DURHAM",
"state": "NC",
"postal_code": "277039464",
"telephone_number": "919-484-2229"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRUITTHEALTH PHARMACY SERVICES - DURHAM, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-30",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"status": "A",
"authorized_official_last_name": "PRUITT",
"authorized_official_first_name": "NEIL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CHAIRMAN AND CEO",
"authorized_official_telephone_number": "770-279-6200",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0326603",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
- Ben Pruitt, LCSWA, MDIV
- Scott Knowles Pruitt, M.D., PH.D.
- Pruitthealth - Carolina Point, LLC (PruittHealth - Carolina Point)
- Pruitthealth - Durham, LLC (PruittHealth - Durham)
- Pruitthealth Pharmacy Services - Durham, Inc. (PruittHealth Pharmacy Services - Durham)
- Brandi Jennifer Pryor Handford
- Emily Przybylowski, MD
- Psiyina L Davis PLLC
- Psychiatric & Psychological Associates of Durham, PLLC
- Psychotherapeutic Community Services Assoc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.