Elizabeth City State University Student Health Services Pharmacy

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

09433 Issued in NC

Legal business name

ELIZABETH CITY STATE UNIVERSITY STUDENT HEALTH SERVICES PHARMACY

Practice address

1704 Weeksville Rd
Elizabeth City, NC 27909-7977

Phone

(252) 335-3267

Fax

(252) 335-3269

NPI assigned

Apr 28, 2011

Last updated

Apr 28, 2011By 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

Regina McCoy-Davis, RN-BSN

Title

Director

Phone

(252) 335-3268

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Ecsu Student Health Services2 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.

• Ecsu Student Health Services

  • Student Health Clinic/Center
  • Elizabeth City, NC
  • NPI 1083056287
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• J M Huff, PH.D.

  • Psychologist
  • Elizabeth City, NC
  • NPI 1780883744
  NPD (past)

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

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303948800000",
    "number": "1841581550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 WEEKSVILLE RD",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279097977",
            "telephone_number": "252-335-3267",
            "fax_number": "252-335-3269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 WEEKSVILLE RD",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279097977",
            "telephone_number": "252-335-3267",
            "fax_number": "252-335-3269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH CITY STATE UNIVERSITY STUDENT HEALTH SERVICES PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-28",
        "last_updated": "2011-04-28",
        "status": "A",
        "authorized_official_last_name": "MCCOY-DAVIS",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "252-335-3268",
        "authorized_official_credential": "RN-BSN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NC",
            "license": "09433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Vikketta Edwards, FNP-BC
• Christopher Noel Edwards, LCSW
• Elizabeth City Health and Rehabilitation, LLC
• Elizabeth City Orthopedic Surgery Center
• Elizabeth City Pasquotank Public Schools
• John Daniel Elliott, D.O.
• Patrice Ellis
• Anthony Emekalam, PHARM.D.
• Emergency Medicine Physicians of Pasquotank County, PLLC
• Empowerment Counseling & Coaching, PLLC

• Health Service Clinic/Center in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Health Service Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.