Organization Active NPI

Triangle Health and Wellness, LLC

  • Primary Care Clinic/Center
  • Durham, NC
National Provider Identifier
1962089839
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
TRIANGLE HEALTH AND WELLNESS, LLC
Practice address
1700 E Hwy 54
Suite a
Durham, NC 27713
Phone
(919) 321-0781
NPI assigned
Mar 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Authorized official

Name
Alice Dillard, PHARMD
Title
Manager
Phone
(919) 321-0781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1700 E Hwy 54
Suite a
Durham, NC 27713

Mailing address

1700 E Hwy 54
Suite a
Durham, NC 27713
Phone (919) 321-0781

Other identifiers 1

IdentifierTypeStateIssuer
10551OtherSCSTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL http://trianglepharmacyacehardware.com/pharmacy/

National Provider Directory

National Provider Directory
Tax ID family
Triangle Health and Wellness LLC2 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": "1616716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616716800000",
    "number": "1962089839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E HWY 54",
            "address_2": "SUITE A",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27713",
            "telephone_number": "919-321-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E HWY 54",
            "address_2": "SUITE A",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27713",
            "telephone_number": "919-321-0781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIANGLE HEALTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-03-26",
        "certification_date": "2021-02-22",
        "status": "A",
        "authorized_official_last_name": "DILLARD",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "919-321-0781",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "10551",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://trianglepharmacyacehardware.com/pharmacy/",
            "affiliation": "N",
            "endpointDescription": "Website",
            "address_1": "1700 E HWY 54",
            "address_2": "Suite A",
            "city": "Durham",
            "state": "NC",
            "country_code": "US",
            "postal_code": "27713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.