1982779286 NPI number — DUKE UNIVERSITY HEALTH SYSTEM, INC.

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982779286 NPI number — DUKE UNIVERSITY HEALTH SYSTEM, INC.

Employer Identification Number (EIN):

Provider Organization Name:

DUKE UNIVERSITY HEALTH SYSTEM, INC.

Provider Last Name:

Provider First Name:

Provider Middle Name:

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:

Provider Gender Code:

Provider Other Organization Name:

DUHS CHILDREN'S 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:

1982779286

Entity Type Code:

Organization

Replacement NPI:

Last Update Date:

09/12/2023

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

PO BOX 110566

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

DURHAM

Provider Business Mailing Address State Name:

NC

Provider Business Mailing Address Postal Code:

27709-5566

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

919-620-4855

Provider Business Mailing Address Fax Number:

919-620-4921

Provider First Line Business Practice Location Address:

ERWIN RD

Provider Second Line Business Practice Location Address:

CHILDRENS HEALTH CENTER ROOM 1937

Provider Business Practice Location Address City Name:

DURHAM

Provider Business Practice Location Address State Name:

NC

Provider Business Practice Location Address Postal Code:

27710-0001

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

919-668-4111

Provider Business Practice Location Address Fax Number:

919-668-4108

Provider Enumeration Date:

11/21/2006

Authorized Official Last Name:

SMITH

Authorized Official First Name:

JOHN

Authorized Official Middle Name:

STUART

Authorized Official Title or Position:

VP, FINANCE

Authorized Official Telephone Number:

919-613-8995

• Taxonomy code: 3336I0012X , with the licence number:  07545 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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