NPIMap

Organization Active NPI

Bertie County Rural Health Association

  • Clinic Pharmacy
  • Windsor, NC
National Provider Identifier
1801427711
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
BERTIE COUNTY RURAL HEALTH ASSOCIATION
Practice address
104 Rhodes Ave
Windsor, NC 27983-9656
Phone
(252) 794-3042
NPI assigned
Jan 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Authorized official

Name
Shavonda H Pugh
Title
Chief Executive Officer
Phone
(252) 794-1835

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

104 Rhodes Ave
Windsor, NC 27983-9656

Mailing address

PO Box 628
Windsor, NC 27983-0628
Phone (252) 794-1835

Other names 1

  • Windsor Community Health Center Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bertie County Rural Hea4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1801427711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 628",
            "city": "WINDSOR",
            "state": "NC",
            "postal_code": "279830628",
            "telephone_number": "252-794-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 RHODES AVE",
            "city": "WINDSOR",
            "state": "NC",
            "postal_code": "279839656",
            "telephone_number": "252-794-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERTIE COUNTY RURAL HEALTH ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-29",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "PUGH",
        "authorized_official_first_name": "SHAVONDA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "252-794-1835"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windsor Community Health Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Windsor Community Health Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Windsor, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.