1053334912 NPI number — UNIVERSITY OF NORTH CAROLINA HOSPITALS AT CHAPEL HILL

Table of content: (NPI 1053334912)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1053334912 NPI number — UNIVERSITY OF NORTH CAROLINA HOSPITALS AT CHAPEL HILL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNIVERSITY OF NORTH CAROLINA HOSPITALS AT CHAPEL HILL
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
UNC HOSPITALS ACC OUTPATIENT PHARMACY
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1053334912
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/25/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5221 PARAMOUNT PKWY STE 440
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MORRISVILLE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27560-5491
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
984-974-1191
Provider Business Mailing Address Fax Number:
984-974-1311

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
102 MASON FARM RD
Provider Second Line Business Practice Location Address:
3RD FLOOR, ROOM 3301
Provider Business Practice Location Address City Name:
CHAPEL HILL
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27599-6134
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-966-7689
Provider Business Practice Location Address Fax Number:
919-966-9311
Provider Enumeration Date:
07/25/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HADAR
Authorized Official First Name:
JANET
Authorized Official Middle Name:
T
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
984-974-4423

Provider Taxonomy Codes

  • Taxonomy code: 333600000X , with the licence number:  H0157 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0685544 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 56-1118688A . This is a "HEALTHSOURCE/CIGNA" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 2053HOS . This is a "PARTNERS" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".




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