WAKE FOREST UNIVERSITY


Address: Lwr Level Reynolds Gym Wingate Rd, Winston-salem, NC 27109
Phone: 3367585218

WAKE FOREST UNIVERSITY (NPI# 1285717694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285717694
Entity Type Organization
Organization Name WAKE FOREST UNIVERSITY
Other Organization Name WAKE FOREST UNIVERSITY STUDENT HEALTH
Practice Address Lwr Level Reynolds Gym Wingate Rd
Winston-salem
NC 27109
Mailing Address Po Box 7386
Winston Salem
NC 27109-6233
Practice Telephone 3367585218
Practice Fax Number 3367586054
Enumeration Date 2006-10-23
Last Update Date 2014-02-04
Authorized Official Name CECIL PRICE (MED DIR)
Authorized Official Telephone 3367585218
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy Suppliers
Y 3336I0012X Pharmacy
Specialization: Institutional Pharmacy
05454 NC Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2068811 01

Other Provider/Organization Names

Other Name Type Code
WAKE FOREST UNIVERSITY STUDENT HEALTH Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1265678817 Wake Forest University Clinic/Center Wingate Road, Reynolds Gymnasium, Room 106, Winston-salem, NC 27106 2009-01-05

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities WAKE FOREST UNIVERSITY 1834 Wake Forest Rd, Winston Salem, NC 27109-6000
Washington State Corporations WAKE FOREST UNIVERSITY 1834 Wake Forest Rd, Winston Salem, NC 27109-6000
Oklahoma Business Registrations WAKE FOREST UNIVERSITY Po Box 7227, Winston Salem, NC 27109
Oklahoma Business Registrations WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER 1920 West First St, Winston Salem, NC 27157
Virginia Business Entities Wake Forest University Baptist Medical Center Department of Legal Affairs, Medical Center Blvd, Winston-salem, North Carolina 27157
System for Award Management (SAM) Entities WAKE FOREST UNIVERSITY HEALTH SCIENCES Medical Center Blvd, Winston Salem, NC 27157-0001
Oklahoma Business Registrations WAKE FOREST UNIVERSITY HEALTH SCIENCES 1920 West First St, Winston Salem, NC 27104

Office Location

Street Address LWR LEVEL REYNOLDS GYM WINGATE RD
City WINSTON-SALEM
State NC
Zip Code 27109

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598394710 Katherine Nicole Best Dietitian, Registered 1834 Wake Forest Road, Sutton Sports Performance Center, Room 218, Winston Salem, NC 27109 2020-04-08
1831317528 Teresa B. Jackson Pharmacist Lower Level Reynolds Gym Wingate Road, Lower Level Reynolds Gym Wingate Road, Winston-salem, NC 27109 2007-04-20
1720120470 Carole Maxwell Stuart Family Medicine Lower Level Reynolds Gym-wingate Rd., Wingate Rd., Winston-salem, NC 27109 2007-02-12
1548302292 Clarice Roth Nurse Practitioner Lower Level Reynolds Gym-wingate Road, Wingate Road, Winston-salem, NC 27109 2007-02-12
1982830907 Steven Miller Heffner Family Medicine 1834 Wake Forest Dr, Winston Salem, NC 27109-6000 2009-06-04
1114986403 Linday S Peral Family Medicine 1834 Wake Forest Rd, George C Mackie Health Center, Winston Salem, NC 27109-6000 2006-03-23
1629685300 Shalyn Patel Physician Assistant 1834 Wake Forest Rd, Winston Salem, NC 27109-6000 2020-09-28
1912429481 Holly Ann Heath Counselor 1834 Wake Forest Rd, Winston Salem, NC 27109-6000 2017-07-17
1598216749 Scott Girard Spernoga Specialist/Technologist 1834 Wake Forest Rd, Winston Salem, NC 27109-6000 2016-10-21
1629423181 Beverly Nesbit Dietitian, Registered 1834 Wake Forest Rd, 1158 Worrell Professional Center, Winston Salem, NC 27109-6000 2016-05-03
Find all providers in zip 27109

Taxonomy Information

Taxonomy Code 3336I0012X
Grouping Suppliers
Classification Pharmacy
Specialization Institutional Pharmacy

Taxonomy Definition

A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; 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]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1639456262 Federal Med Center - Butner Pharmacy Old Nc 75, Butner, NC 27509 2011-11-10
1114234903 North Carolina A T State University Pharmacy 112. N. Benbow Road, Greensboro, NC 27411-0001 2010-09-01
1942447321 The Moses H Cone Memorial Hospital Operating Corporation Pharmacy 1131d N Church St, Greensboro, NC 27401-1007 2009-01-07
1356504542 Avacare Inc Pharmacy 7355 W Friendly Ave, Ste E, Greensboro, NC 27410-6373 2008-07-08
1265459614 Medipack Pharmacy LLC Pharmacy 3917 Westpoint Blvd, Suite A, Winston Salem, NC 27103-6723 2006-07-15
1225070675 Stokes Reynolds Memorial Hospital Inc Pharmacy 1570 Nc 8&89 Hwy North, Danbury, NC 27016-0010 2006-06-11
1851769582 Unc Hospitals Employee Pharmacy Pharmacy 211 Friday Center Dr, Suite 2091, Room 2094, Chapel Hill, NC 27517-9499 2015-09-11
1063802999 Julian F. Keith Alcohol & Drug Abuse Treatment Center Pharmacy 201 Tabernacle Rd, Black Mountain, NC 28711-2526 2015-01-30
1356765960 Institutional Pharmacy Solutions, LLC Pharmacy 3200 Waterfield Dr, Garner, NC 27529-7727 2014-02-18
1730503335 Institutional Pharmacy Solutions, LLC Pharmacy 2050 Mercantile Dr, Leland, NC 28451-4053 2014-02-18
Find all providers with the same taxonomy

Competitor

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City WINSTON-SALEM
Zip Code 27109

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Dataset Information

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.

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