NPIMap

Organization Active NPI

Durham County Health Department Pharmacy

  • Pharmacy
  • Durham, NC
National Provider Identifier
1720414980
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
04685 Issued in NC
Legal business name
DURHAM COUNTY HEALTH DEPARTMENT PHARMACY
Practice address
414 E Main St
Durham County Health Department
Durham, NC 27701
Phone
(919) 560-7632
Fax
(919) 560-7873
NPI assigned
Sep 19, 2013
Last updated
Sep 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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

Authorized official

Name
Ms. Michelle Lamarr Williams
Title
Accounting Technician II
Phone
(919) 560-7878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 04685 NC Primary

Addresses

Primary practice location

414 E Main St
Durham County Health Department
Durham, NC 27701

Mailing address

414 E Main St
Durham County Health Department
Durham, NC 27701
Phone (919) 560-7632

Other identifiers 1

IdentifierTypeStateIssuer
1457435349MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Durham Co Mental HLTH Ctr5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1379548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1720414980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 E MAIN ST",
            "address_2": "DURHAM COUNTY HEALTH DEPARTMENT",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27701",
            "telephone_number": "919-560-7632",
            "fax_number": "919-560-7873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 E MAIN ST",
            "address_2": "DURHAM COUNTY HEALTH DEPARTMENT",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27701",
            "telephone_number": "919-560-7632",
            "fax_number": "919-560-7873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURHAM COUNTY HEALTH DEPARTMENT PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LAMARR",
        "authorized_official_title_or_position": "ACCOUNTING TECHNICIAN II",
        "authorized_official_telephone_number": "919-560-7878",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NC",
            "license": "04685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457435349",
            "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 Sep 19, 2013; 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.