NPIMap

Organization Active NPI

High Point Regional Clinic

  • Clinic Pharmacy
  • High Point, NC
National Provider Identifier
1740329796
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
4365 Issued in NC
Legal business name
HIGH POINT REGIONAL CLINIC
Practice address
624 Quaker LN Ste 301D
High Point, NC 27262-3800
Phone
(336) 844-6033
Fax
(336) 878-6189
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Authorized official

Name
Mark McCauley
Title
PHRM Mang
Phone
(336) 878-6033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X 4365 NC Primary

Addresses

Primary practice location

624 Quaker LN Ste 301D
High Point, NC 27262-3800

Mailing address

624 Quaker LN Ste 301D
High Point, NC 27262-3800

Other identifiers 3

IdentifierTypeStateIssuer
3428972OtherOTHER ID NUMBER
3428972OtherOTHER ID NUMBER-COMMERCIAL NUMBER
0417071MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
High Point Regional Hospital Professional Staff9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1740329796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 QUAKER LN STE 301D",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272623800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 QUAKER LN STE 301D",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272623800",
            "telephone_number": "336-844-6033",
            "fax_number": "336-878-6189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH POINT REGIONAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "MCCAULEY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PHRM MANG",
        "authorized_official_telephone_number": "336-878-6033"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NC",
            "license": "4365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3428972",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3428972",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0417071",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.