Organization Active NPI

Blowing Rock Hospital

  • Institutional Pharmacy
  • Blowing Rock, NC
National Provider Identifier
1851413561
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
3414822 Issued in NC
Legal business name
BLOWING ROCK HOSPITAL
Practice address
418 Chestnut Drive
Blowing Rock, NC 28605
Phone
(828) 295-3136
Fax
(828) 295-4587
NPI assigned
Apr 4, 2007
Last updated
Aug 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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

Authorized official

Name
Mrs. Mary Etta Long, RHIA-CPMSM
Title
Sr VP Medical Staff Services
Phone
(828) 262-4133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X 3414822 NC Primary

Addresses

Primary practice location

418 Chestnut Drive
Blowing Rock, NC 28605

Mailing address

418 Chestnut Drive
P.O. Box 148
Blowing Rock, NC 28605
Phone (828) 295-3136

Other identifiers 2

IdentifierTypeStateIssuer
02277OtherNCLICENSE
3414822OtherNCNCPDP

National Provider Directory

National Provider Directory
Tax ID family
Blowing Rock Hospital2 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.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377648000000",
    "number": "1851413561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 CHESTNUT DRIVE",
            "address_2": "P.O. BOX 148",
            "city": "BLOWING ROCK",
            "state": "NC",
            "postal_code": "28605",
            "telephone_number": "828-295-3136",
            "fax_number": "828-295-4587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 CHESTNUT DRIVE",
            "city": "BLOWING ROCK",
            "state": "NC",
            "postal_code": "28605",
            "telephone_number": "828-295-3136",
            "fax_number": "828-295-4587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOWING ROCK HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2013-08-28",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ETTA",
        "authorized_official_title_or_position": "SR VP MEDICAL STAFF SERVICES",
        "authorized_official_telephone_number": "828-262-4133",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RHIA-CPMSM"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "NC",
            "license": "3414822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "02277",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3414822",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blowing Rock, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.