CAROLINAS MEDICAL CENTER (NPI# 1023125663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023125663 |
| Entity Type | Organization |
| Organization Name | CAROLINAS MEDICAL CENTER |
| Other Organization Name | AIRPORT CENTER PHARMACY |
| Practice Address |
4400 Golf Acres Dr Bldg. J, Suite G Charlotte NC 28208-5923 |
| Mailing Address |
Po Box 32861 Airport Center Pharmacy Charlotte NC 28232-2861 |
| Practice Telephone | 7045127650 |
| Mailing Telephone | 7045127650 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2020-01-22 |
| Authorized Official Name | MR. DON MABE (CHIEF PHARMACY OFFICER) |
| Authorized Official Telephone | 7045126967 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
5328 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 0605832 | 05 | |
| NABP # | 3428681 | 01 | |
| DEA # | BC5559856 | 01 |
| Other Name | Type Code |
|---|---|
| Airport Center Pharmacy | Doing Business As Name - Organization |
| CMC - Airport Center Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871998575 | Carolinas Medical Center | General Acute Care Hospital | 2001 Vail Ave., Charlotte, NC 28207-1219 | 2014-10-24 |
| 1750546347 | Carolinas Medical Center | Clinic/Center | 1216 North Tryon Street, Behavioral Health Center Cmc Randolph, Charlotte, NC 28206-3256 | 2008-07-23 |
| 1366558959 | Carolinas Medical Center | Pharmacy | 1350 S Kings Dr Ste 101, Charlotte, NC 28207-2134 | 2006-08-23 |
| 1063900405 | Carolinas Medical Center | Internal Medicine | 126 Milestone Way, Greenville, SC 29615-5065 | 2018-05-01 |
| 1780197335 | Carolinas Medical Center | Internal Medicine | 11 Gateway Corners Park, Columbia, SC 29203-8902 | 2017-11-06 |
| 1578086187 | Carolinas Medical Center | Internal Medicine | 10502 Park Rd, Suite 110, Charlotte, NC 28210-8479 | 2017-07-25 |
| 1821467911 | Carolinas Medical Center | General Acute Care Hospital | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2015-09-18 |
| 1346648235 | Carolinas Medical Center | General Acute Care Hospital | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2014-12-09 |
| 1962825166 | Carolinas Medical Center | Surgery | 200 Medical Park Dr, Ste 320, Concord, NC 28025-2982 | 2014-01-24 |
| 1851712582 | Carolinas Medical Center | Family Medicine | 10650 Park Rd, Charlotte, NC 28210-8538 | 2013-12-24 |
| Street Address |
4400 GOLF ACRES DR BLDG. J, SUITE G |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28208-5923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780626135 | Chs Pharmacy Services, Inc. | Pharmacy | 4400 Golf Acres Dr, Bldg J Ste C, Charlotte, NC 28208-5968 | 2006-06-11 |
| 1568819910 | Elizabeth Byers | Pharmacist | 4400 Golf Acres Dr, Building J Suite B1, Charlotte, NC 28208-5990 | 2016-05-16 |
| 1104225945 | Frank Mccree Jr. | Pharmacist | 4400 Golf Acres Dr, Building J, Suite E, Charlotte, NC 28208-5990 | 2014-08-18 |
| 1609292150 | Ashly Garibaldi | Pharmacist | 4400 Golf Acres Dr, Suite E Building J, Charlotte, NC 28208-5990 | 2014-03-07 |
| 1376964676 | Pierre Ortiz | Specialist/Technologist | 4400 Golf Acres Dr, Bld. J, Suite D, Charlotte, NC 28208-5990 | 2014-01-04 |
| 1124459425 | Shatt Vang | Specialist/Technologist | 4400 Golf Acres Dr, Building J, Suite D, Charlotte, NC 28208-5990 | 2013-12-11 |
| 1770914483 | Jeffery Morgan | Specialist/Technologist | 4400 Golf Acres Dr, Building J Suite D, Charlotte, NC 28208-5990 | 2013-12-05 |
| 1780010082 | Timothy James Cirone | Specialist/Technologist | 4400 Golf Acres Dr, Building J, Suite D, Charlotte, NC 28208-5990 | 2013-09-18 |
| 1972849347 | Stephanie N Varin | Specialist/Technologist | 4400 Golf Acres Dr, Building J, Suite D, Charlotte, NC 28208-5990 | 2012-12-12 |
| 1912254202 | Felicia Marie Twiford | Specialist/Technologist | 4400 Golf Acres Dr, Charlotte, NC 28208-5990 | 2012-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124645544 | Charlotte Sp Senior Housing Opco, LLC | Custodial Care Facility | 6041 Piedmont Row Drive, Charlotte, NC 28208 | 2020-07-01 |
| 1750929659 | Tru Pearl Solution Services Pllc | Community/Behavioral Health | 2128 Remount Road Suite B, Charlotte, NC 28208 | 2019-12-11 |
| 1245880699 | Camilla A Raley | Technician | 1539 Walton Rd, Charlotte, NC 28208 | 2019-09-18 |
| 1912567041 | Nolan Scott Blake | In Home Supportive Care | 4926 Ridgeley Dr., Suite B, Charlotte, NC 28208 | 2019-06-20 |
| 1699244145 | Catalyst Chiropractic, Pllc | Chiropractor | 2620 Tuckaseegee Rd., Charlotte, NC 28208 | 2018-11-14 |
| 1255854691 | Jessica Lynne Hunter | Social Worker | 2011 Water Walk Lane Apt 209, Charlotte, NC 28208 | 2017-07-18 |
| 1700311420 | Matthew Christian Mundorf | Chiropractor | 2620 Tuckaseegee Rd, Charlotte, NC 28208 | 2017-05-01 |
| 1700235439 | Erin Merchant | Counselor | 2016 Millerton Avenue, #2213, Charlotte, NC 28208 | 2016-06-03 |
| 1528432564 | Monika Sheree Moore | Counselor | 3205 Freedom Dr, Charlotte, NC 28208 | 2015-11-13 |
| 1205224540 | Phadality Home Care | Home Health | 201 S Hoskins Rd., Suite 119, Charlotte, NC 28208 | 2015-01-08 |
| Find all providers in zip 28208 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982236584 | Premier Pharmacy and Wellness Center LLC | Pharmacy | 3010 Monroe Rd Ste 101, Charlotte, NC 28205-7533 | 2020-02-11 |
| 1356812432 | Polaris Pharmacy Services of North Carolina, LLC | Pharmacy | 3300 Monroe Rd Unit E&f, Charlotte, NC 28205-7853 | 2018-12-16 |
| 1043799356 | Nelan LLC | Pharmacy | 3541 Randolph Rd Ste 104, Charlotte, NC 28211-1081 | 2018-08-08 |
| 1306079389 | Ccrx of North Carolina, LLC | Pharmacy | 6601 Northpark Blvd Ste C, Charlotte, NC 28216-0082 | 2009-08-25 |
| 1528299252 | Guardian Pharmacy of The Piedmont Carolinas | Pharmacy | 2915 Whitehall Park Dr Ste 100, Charlotte, NC 28273-3580 | 2009-07-29 |
| 1235379298 | Fcrx Inc | Pharmacy | 4922 Albemarle Road, Charlotte, NC 28205 | 2009-03-03 |
| 1831115393 | Pharmacy Corporation of America | Pharmacy | 3300 Monroe Rd Ste A, Charlotte, NC 28205-7853 | 2006-07-15 |
| 1902405327 | Rx Care Pharmacy Inc | Pharmacy | 6018 The Plz, Charlotte, NC 28215-2450 | 2020-10-19 |
| 1104381276 | Central Pharmacy - Charlotte LLC | Pharmacy | 354 S Cochran Ave Ste 3, Charlotte, MI 48813-1569 | 2019-02-04 |
| 1891227922 | Remedi Seniorcare of Charlotte, LLC | Pharmacy | 7504 E Independence Blvd, Suite 112, Charlotte, NC 28227-9472 | 2017-03-29 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.