NPIMap

Organization Active NPI

The Moses H. Cone Memorial Hospital Operating Corporation

  • Institutional Pharmacy
  • High Point, NC
National Provider Identifier
1982973293
Registry record updated May 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
11157 Issued in NC
Legal business name
THE MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATION
Practice address
2630 Willard Dairy Rd
Suite B
High Point, NC 27265-8351
Phone
(336) 884-3838
Fax
(336) 884-3840
NPI assigned
Dec 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2018

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

Authorized official

Name
Kim Portis, PHARM D
Title
Site Coordinator/Pic
Phone
(336) 884-3837

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Institutional Pharmacy 3336I0012X 11157 NC Primary

Addresses

Primary practice location

2630 Willard Dairy Rd
Suite B
High Point, NC 27265-8351

Mailing address

2630 Willard Dairy Rd
Suite B
High Point, NC 27265-8351
Phone (336) 884-3838

Other identifiers 2

IdentifierTypeStateIssuer
0418648MedicaidNC
2133045OtherPK

Other names 1

  • MedCenter High Point Outpatient Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory
Tax ID family
Moses Cone Memorial Hos38 organizations share this tax ID, including this one

Other organizations with this tax ID 37

Organizations that report the same tax identification number in the National Provider Directory.

View all 37

Locations

2630 Willard Dairy Rd
Ste B
High Point, NC 27265
Phone (336) 884-3838

NPI Registry JSON

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

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525651200000",
    "number": "1982973293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 WILLARD DAIRY RD",
            "address_2": "SUITE B",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272658351",
            "telephone_number": "336-884-3838",
            "fax_number": "336-884-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 WILLARD DAIRY RD",
            "address_2": "SUITE B",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272658351",
            "telephone_number": "336-884-3838",
            "fax_number": "336-884-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-16",
        "last_updated": "2018-05-07",
        "status": "A",
        "authorized_official_last_name": "PORTIS",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "SITE COORDINATOR/PIC",
        "authorized_official_telephone_number": "336-884-3837",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "NC",
            "license": "11157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0418648",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2133045",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedCenter High Point Outpatient Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MedCenter High Point Outpatient Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; 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.