NPIMap

Organization Active NPI

Carolinas Medical Center

Doing business as Atrium Health Pharmacy Kenilworth

  • Community/Retail Pharmacy
  • Charlotte, NC
National Provider Identifier
1982710554
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CAROLINAS MEDICAL CENTER
Doing business as
Atrium Health Pharmacy Kenilworth
Practice address
1225 Harding PL Ste 1400
Charlotte, NC 28204-2826
Phone
(704) 468-3310
Fax
(704) 468-3311
NPI assigned
Aug 23, 2006
Last updated
Sep 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Authorized official

Name
Bradley A Clark
Title
Cfo
Phone
(336) 716-5099

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

1225 Harding PL Ste 1400
Charlotte, NC 28204-2826

Mailing address

PO Box 604357
Charlotte, NC 28260-4357
Phone (704) 512-7637

Other identifiers 3

IdentifierTypeStateIssuer
0607259MedicaidNC
2070086OtherPK
7N5200MedicaidSC

Other names 1

  • Atrium Health Pharmacy Kenilworth Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20161005001843 NC Part B Supplier - Pharmacy 9830407972 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Charlotte, NC; Concord, NC
O20250908003731 NC DME Supplier - Pharmacy 4789597477 Practice locations: Charlotte, NC

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
CMC Randloph69 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1021 Morehead Medical Dr
Bldg 2
Charlotte, NC 28204
Phone (704) 442-2500

1025 Morehead Medical Dr
Ste 200C
Charlotte, NC 28204
Phone (704) 355-0607

1025 Morehead Medical Dr
Ste 275B
Charlotte, NC 28204
Phone (704) 355-0607

10502 Park Rd
Ste 110
Charlotte, NC 28210
Phone (704) 541-0888

10826 Mallard Creek Rd
Ste 100
Charlotte, NC 28262
Phone (704) 593-0244

1225 Harding Pl
Ste 1100
Charlotte, NC 28204
Phone (704) 468-3400

1225 Harding Pl
Ste 1400
Charlotte, NC 28204
Phone (704) 468-3310

125 W Morehead St
#500
Charlotte, NC 28202
Phone (704) 446-2321

15830 Ballantyne Medical Pl
Ste 200
Charlotte, NC 28277
Phone (980) 442-9600

1601 Abbey Pl
Ste 220
Charlotte, NC 28209
Phone (704) 512-2110

1819 East Blvd
Charlotte, NC 28203
Phone (704) 335-2760

2300 Randolph Rd
Charlotte, NC 28207
Phone (704) 347-4144

3541 Randolph Rd
Charlotte, NC 28211
Phone (704) 335-9794

4525 Cameron Valley Pkwy
Ste 2200
Charlotte, NC 28211
Phone (704) 512-2401

4525 Cameron Valley Pkwy
Ste 2700
Charlotte, NC 28211
Phone (704) 304-1176

5000 Airport Center Pkwy
Ste D
Charlotte, NC 28208
Phone (704) 512-3303

501 Billingsley Rd
#A
Charlotte, NC 28211
Phone (704) 444-2400

501 Billingsley Rd
#C
Charlotte, NC 28211

6965 Fairview Rd
Charlotte, NC 28210
Phone (704) 631-1300

9601 Holly Point Dr
#204
Huntersville, NC 28078
Phone (704) 801-9200

214 S Academy St
Lincolnton, NC 28092
Phone (704) 732-0943

201 E Grover St
Rm 1134
Shelby, NC 28150
Phone (704) 512-6458

Practitioners & affiliated clinicians

Practitioners 2,593

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.

View all 2,593

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758844800000",
    "number": "1982710554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604357",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282604357",
            "telephone_number": "704-512-7637",
            "fax_number": "704-512-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 HARDING PL STE 1400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042826",
            "telephone_number": "704-468-3310",
            "fax_number": "704-468-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "336-716-5099"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0607259",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2070086",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7N5200",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Atrium Health Pharmacy Kenilworth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; 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.

Verify at the official NPI Registry.