NPIMap

Organization Active NPI

Cumberland County Hospital System Inc

Doing business as Pavilion Pharmacy

  • Specialty Pharmacy
  • Fayetteville, NC
National Provider Identifier
1689452815
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
CUMBERLAND COUNTY HOSPITAL SYSTEM INC
Doing business as
Pavilion Pharmacy
Practice address
6387 Ramsey St Unit 130
Fayetteville, NC 28311-9442
Phone
(910) 615-3900
Fax
(910) 321-6220
NPI assigned
Sep 19, 2023
Last updated
Sep 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Authorized official

Name
Joseph B Fiser
Title
VP Managed Care and Revenue Cycle
Phone
(910) 615-5572

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialty Pharmacy 3336S0011X NU Primary

Addresses

Primary practice location

6387 Ramsey St Unit 130
Fayetteville, NC 28311-9442

Mailing address

6387 Ramsey St Unit 130
Fayetteville, NC 28311-9442
Phone (910) 615-3900

Other names 1

  • Pavilion Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Melrose Pediatric Care50 organizations share this tax ID, including this one

Other organizations with this tax ID 49

Organizations that report the same tax identification number in the National Provider Directory.

View all 49

Locations

6387 Ramsey St
Unit 130
Fayetteville, NC 28311
Phone (910) 615-3900

NPI Registry JSON

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1689452815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6387 RAMSEY ST UNIT 130",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283119442",
            "telephone_number": "910-615-3900",
            "fax_number": "910-321-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6387 RAMSEY ST UNIT 130",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283119442",
            "telephone_number": "910-615-3900",
            "fax_number": "910-321-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND COUNTY HOSPITAL SYSTEM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "FISER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "VP MANAGED CARE AND REVENUE CYCLE",
        "authorized_official_telephone_number": "910-615-5572"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pavilion Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.