Active NPI
The Moses H. Cone Memorial Hospital Operating Corporation
- Community/Retail Pharmacy
- Greensboro, NC
National Provider Identifier
1982004289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 12080
- Legal business name
- THE MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATION
- Practice address
- 201 E Wendover Ave
Greensboro, NC 27401-1205 - Phone
- (336) 832-3630
- Fax
- (336) 832-3632
- NPI assigned
- Aug 25, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Courtney Blackwell Isom, PHARMD
- Title
- Pharmacy Manager
- Phone
- (336) 832-3631
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 12080 | NC | Primary |
Addresses
Primary practice location
201 E Wendover Ave
Greensboro, NC 27401-1205
Mailing address
201 E Wendover Ave
Greensboro, NC 27401-1205
Phone (336) 832-3630
Other names 1
- Community Health and Wellness Center Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130522000385 | NC | Part B Supplier - Pharmacy | 6204744600 |
7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Asheboro, NC; Eden, NC; Greensboro, NC; High Point, NC |
Other NPIs on the same Medicare enrollment 7
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Community/Retail Pharmacy
- Asheboro, NC
- NPI 1235969973
O20130522000385
-
- Community/Retail Pharmacy
- Eden, NC
- NPI 1861222507
O20130522000385
-
- Institutional Pharmacy
- Greensboro, NC
- NPI 1942447321
O20130522000385
-
- Community/Retail Pharmacy
- Greensboro, NC
- NPI 1386904886
O20130522000385
-
- Pharmacy
- Greensboro, NC
- NPI 1497414197
O20130522000385
-
- Community/Retail Pharmacy
- Greensboro, NC
- NPI 1588751788
O20130522000385
-
- Institutional Pharmacy
- High Point, NC
- NPI 1982973293
O20130522000385
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408924800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1578441600000",
"number": "1982004289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 E WENDOVER AVE",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274011205",
"telephone_number": "336-832-3630",
"fax_number": "336-832-3632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 E WENDOVER AVE",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274011205",
"telephone_number": "336-832-3630",
"fax_number": "336-832-3632"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-25",
"last_updated": "2020-01-08",
"certification_date": "2020-01-08",
"status": "A",
"authorized_official_last_name": "ISOM",
"authorized_official_first_name": "COURTNEY",
"authorized_official_middle_name": "BLACKWELL",
"authorized_official_title_or_position": "PHARMACY MANAGER",
"authorized_official_telephone_number": "336-832-3631",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NC",
"license": "12080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Community Health and Wellness Center Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Community Health and Wellness Center Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.