TRIAD ADULT AND PEDIATRIC MEDICINE INC (NPI# 1235483785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235483785 |
| Entity Type | Organization |
| Organization Name | TRIAD ADULT AND PEDIATRIC MEDICINE INC |
| Other Organization Name | TRIAD ADULT AND PEDIATRIC MED - GCH WENDOVER PHARMACY |
| Practice Address |
1046 E Wendover Ave Greensboro NC 27405-6712 |
| Practice Telephone | 3363559908 |
| Practice Fax Number | 3362751033 |
| Mailing Telephone | 3363559908 |
| Mailing Fax Number | 3362751033 |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2015-06-18 |
| Authorized Official Name | AMY HALLISEY (PHARMACY DIRECTOR) |
| Authorized Official Telephone | 3363559908 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
11385 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2137806 | 01 | |
| NC | 344047B | 05 |
| Other Name | Type Code |
|---|---|
| Triad Adult and Pediatric Med - GCH Wendover Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184913188 | Triad Adult and Pediatric Medicine Inc | Pharmacy | 624 Quaker Ln, Ste 100c, High Point, NC 27262-3832 | 2011-03-31 |
| 1720377724 | Triad Adult and Pediatric Medicine Inc | Pharmacy | 1002 S Eugene St, Greensboro, NC 27406-1308 | 2011-03-31 |
| 1023318961 | Triad Adult and Pediatric Medicine Inc | Pharmacy | 624 Quaker Ln Ste 100c, High Point, NC 27262-3832 | 2010-10-26 |
| Street Address |
1046 E WENDOVER AVE |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27405-6712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417951864 | Marian Earls | Pediatrics | 1046 E Wendover Ave, Greensboro, NC 27405-6712 | 2005-06-13 |
| 1871117135 | Max Wilmot | Pediatrics | 1046 E Wendover Ave, Greensboro, NC 27405-6712 | 2020-06-02 |
| 1194283325 | Lauren Leeanne Poleto | Registered Nurse | 1046 E Wendover Ave, Greensboro, NC 27405-6712 | 2019-03-06 |
| 1881148542 | Athena Theodora Samaras | Nurse Practitioner | 1046 E Wendover Ave, Greensboro, NC 27405-6712 | 2016-08-11 |
| 1548679749 | Triad Adult and Pediatric Med-gch Wendover Pharmacy | Pharmacy | 1046 E Wendover Ave, Greensboro, NC 27405-6712 | 2014-08-13 |
| 1992058531 | Sharon Elizabeth Dempsey | Social Worker | 1046 E Wendover Ave, Greensboro, NC 27405-6712 | 2012-10-19 |
| 1437412863 | Channel Dion Dobson | Registered Nurse | 1046 E Wendover Ave, Greensboro, NC 27405-6712 | 2012-06-20 |
| 1386921476 | Jasmine Williams | Social Worker | 1046 E Wendover Ave, Greensboro, NC 27405-6712 | 2011-11-03 |
| 1538453055 | Amy Hallisey | Pharmacist | 1046 E Wendover Ave, Greensboro, NC 27405-6712 | 2011-06-01 |
| 1528386166 | Laura Constance Smith | Dietitian, Registered | 1046 E Wendover Ave, Greensboro, NC 27405-6712 | 2010-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477038727 | Miya Jackson | Behavior Technician | 2308 Golden Gate Dr, Apt G, Greensboro, NC 27405 | 2018-10-02 |
| 1821576299 | Woodrow Eric Bradley | Day Training/Habilitation Specialist | 1403 Woocbriar Ave, Greensboro, NC 27405 | 2018-07-30 |
| 1922593094 | Constance Foushee | Nurse Practitioner | 1100 E. Wendover, Greensboro, NC 27405 | 2018-06-29 |
| 1760972434 | Ayana Linette Holland | Home Health Aide | 1417 Old Hickory Dr, Greensboro, NC 27405 | 2018-05-17 |
| 1790294700 | G. Antoine Gray | Specialist | 2100 Phillips Avenue, Suite B, Greensboro, NC 27405 | 2017-09-21 |
| 1306375910 | Wendy Carisa Boger | Registered Nurse | 1100 East Wendover Avenue, Greensboro, NC 27405 | 2017-06-07 |
| 1659827715 | Changing Paths Counseling Center Pllc | Community/Behavioral Health | 1600 E Wendoer Ave., Suite C, Greensboro, NC 27405 | 2016-08-29 |
| 1295187896 | Amanda Kirby Counseling, PC | Counselor | 1175 Revolution Mill Drive, Suite 29-2, Greensboro, NC 27405 | 2016-07-07 |
| 1780049429 | Pta | Residential Treatment Facility, Physical Disabilities | 1900 Sheldon Road, Greensboro, NC 27405 | 2015-12-23 |
| 1841655644 | Amaya Nicole Hardy | Counselor | 1600r E Wendover Ave Ste R, Greensboro, NC 27405 | 2015-12-21 |
| Find all providers in zip 27405 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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 |
|---|---|---|---|---|
| 1790269165 | Pioneer Apco LLC | Pharmacy | 1100 Revolution Mill Dr Ste 10, Greensboro, NC 27405-5067 | 2018-09-20 |
| 1629502109 | Cvs Pharmacy | Pharmacy | 1606 Fox Hollow Rd, Greensboro, NC 27410-3704 | 2017-04-12 |
| 1346679412 | Friendly Pharmacy | Pharmacy | 3712 Lawndale Dr Ste G, Greensboro, NC 27455-3066 | 2013-11-08 |
| 1538496179 | Piedmont Drug & Home Delivery, L.L.C. | Pharmacy | 4620 Woody Mill Rd, Suite B, Greensboro, NC 27406-8779 | 2009-11-03 |
| 1205997343 | Health Care Services Inc | Pharmacy | 2021 Martin Luther King Jr Dr, Greensboro, NC 27406-3314 | 2006-12-13 |
| 1124102645 | North Carolina Cvs Pharmacy LLC | Pharmacy | 1628 Highwoods Blvd, Greensboro, NC 27410-2048 | 2006-10-24 |
| 1962506543 | Harris Teeter, Inc. | Pharmacy | 3357 Battleground Ave., Greensboro, NC 27410 | 2006-09-12 |
| 1720181407 | North Carolina Cvs Pharmacy LLC | Pharmacy | 1903 W Florida St, Greensboro, NC 27403-3362 | 2006-09-07 |
| 1336242106 | North Carolina Cvs Pharmacy LLC | Pharmacy | 309 E Cornwallis Dr, Greensboro, NC 27408-5103 | 2006-09-07 |
| 1528161023 | North Carolina Cvs Pharmacy LLC | Pharmacy | 1615 Spring Garden St, Greensboro, NC 27403-2334 | 2006-09-07 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27405 |
Please comment or provide details below to improve the information on TRIAD ADULT AND PEDIATRIC MEDICINE INC.
| 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.