1205840857 NPI number — UNIVERSITY OF NORTH CAROLINA HOSPITALS AT CHAPEL HILL

Table of content: (NPI 1205840857)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205840857 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 CENTRAL 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:
1205840857
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:
984-974-2374
Provider Business Mailing Address Fax Number:
984-974-8586

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
101 MANNING DR
Provider Second Line Business Practice Location Address:
UNC HOSPITALS CENTRAL OUTPATIENT PHARMACY
Provider Business Practice Location Address City Name:
CHAPEL HILL
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27514-4220
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
984-974-2374
Provider Business Practice Location Address Fax Number:
984-974-8586
Provider Enumeration Date:
07/28/2006

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: 237600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 237700000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 333600000X , with the licence number: 01218 , 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: 0685024 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1205840857 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2053HOS . This is a "PARTNERS PROV #" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 7701351 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3404131 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".