Cherry Hospital State of North Carolina

Primary specialty

Institutional PharmacyTaxonomy code 3336I0012X

Legal business name

CHERRY HOSPITAL STATE OF NORTH CAROLINA

Doing business as

Cherry Hospital Pharmacy

Practice address

1401 West Ash Street
Goldsboro, NC 27530

Phone

(919) 947-7408

Fax

(919) 705-5182

NPI assigned

Jan 17, 2007

Last updated

Oct 17, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Derrick C Lloyd

Title

Budget Officer

Phone

(919) 947-8357

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• CHERRY HOSPITAL PHARMACY Doing business as

Tax ID family

Cherry Hospital Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Cherry Hospital State of North Carolina

  • Psychiatric Hospital
  • Goldsboro, NC
  • NPI 1164756714
  NPD tax ID

Locations

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1740332097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 W ASH ST",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275301078",
            "telephone_number": "919-947-8160",
            "fax_number": "919-705-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 WEST ASH STREET",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "27530",
            "telephone_number": "919-947-7408",
            "fax_number": "919-705-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY HOSPITAL STATE OF NORTH CAROLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "LLOYD",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "BUDGET OFFICER",
        "authorized_official_telephone_number": "919-947-8357"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NC",
            "license": "02656",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2065905",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "344003",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHERRY HOSPITAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CHERRY HOSPITAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Firas Chazli, MD
• Kuliakanda M Chengappa, M.D.
• Cherry Hospital
• Cherry Hospital
• Cherry Hospital State of North Carolina
• Cherry Hospital State of North Carolina
• David A Chesnutt, MD
• Kathleen B Chipman
• Chiro Solutions, PLLC.
• Chirocare of Goldsboro

• Institutional Pharmacy in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Institutional Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.