NPIMap

Organization Active NPI

Associated Urologists of North Carolina PA

  • Community/Retail Pharmacy
  • Raleigh, NC
National Provider Identifier
1700155462
Registry record updated Feb 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
11155 Issued in NC
Legal business name
ASSOCIATED UROLOGISTS OF NORTH CAROLINA PA
Practice address
2800 Blue Ridge Rd Ste 405
Raleigh, NC 27607-6476
Phone
(919) 865-4641
Fax
(919) 865-4644
NPI assigned
Dec 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2012

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

Authorized official

Name
Tony Gurley
Title
Pharmacy Manager
Phone
(919) 215-0240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 11155 NC Primary

Addresses

Primary practice location

2800 Blue Ridge Rd Ste 405
Raleigh, NC 27607-6476

Mailing address

PO Box 90216
Raleigh, NC 27675-0216

Other identifiers 1

IdentifierTypeStateIssuer
3459636OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Associated Urologist of NC, Inc of Raleigh Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Associated Urologists of North Carolina PA13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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": "1324598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328227200000",
    "number": "1700155462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90216",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276750216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 BLUE RIDGE RD STE 405",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076476",
            "telephone_number": "919-865-4641",
            "fax_number": "919-865-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED UROLOGISTS OF NORTH CAROLINA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-23",
        "last_updated": "2012-02-03",
        "status": "A",
        "authorized_official_last_name": "GURLEY",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "919-215-0240"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "11155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3459636",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Associated Urologist of NC, Inc of Raleigh",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; 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.