FAYETTEVILLE STATE UNIVERSITY (NPI# 1528547718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528547718 |
| Entity Type | Organization |
| Organization Name | FAYETTEVILLE STATE UNIVERSITY |
| Practice Address |
1200 Murchison Rd Fayetteville NC 28301-4252 |
| Practice Telephone | 9106722602 |
| Practice Fax Number | 9106721366 |
| Mailing Telephone | 9106722602 |
| Mailing Fax Number | 9106721366 |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2018-08-09 |
| Authorized Official Name | MRS. VINETTE EILY GORDON (DIRECTOR STUDENT HEALTH SERVICES) |
| Authorized Official Telephone | 9106722602 |
| Is Organization Subpart | Y |
| Parent Organization Name | FAYETTEVILLE STATE UNIVERSITY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
04032 | NC | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700439023 | Fayetteville State University | Clinic/Center | 1200 Murchison Road, Fayetteville State University The, Fayetteville, NC 28301-4252 | 2019-07-17 |
| 1063990281 | Fayetteville State University | Clinic/Center | 1200 Murchison Rd, Fayetteville, NC 28301-4252 | 2018-07-31 |
| Street Address |
1200 MURCHISON RD |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28301-4252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396899100 | Jeffrey E Cassisi | Psychologist | 1200 Murchison Rd, Dept of Psychology, Fayetteville State University, Fayetteville, NC 28301-4252 | 2007-01-22 |
| 1770180903 | Kenneth Lassiter | Physical Medicine & Rehabilitation | 1200 Murchison Rd, Fayetteville, NC 28301-4252 | 2020-10-01 |
| 1548883325 | Gloria Shadell Wells | Counselor | 1200 Murchison Rd, Fayetteville, NC 28301-4252 | 2020-05-27 |
| 1063990281 | Fayetteville State University | Clinic/Center | 1200 Murchison Rd, Fayetteville, NC 28301-4252 | 2018-07-31 |
| 1609244482 | Erica Campbell | Counselor | 1200 Murchison Rd, Fayetteville, NC 28301-4252 | 2015-09-10 |
| 1861755258 | Carlitta Michelle Moore | Specialist/Technologist | 1200 Murchison Rd, Fayetteville, NC 28301-4252 | 2012-06-20 |
| 1093947228 | Marjorie Stokes | Registered Nurse | 1200 Murchison Rd, Fayetteville, NC 28301-4252 | 2009-08-21 |
| 1538353404 | Indira Tyler | Registered Nurse | 1200 Murchison Rd, Fayetteville, NC 28301-4252 | 2007-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726219 | Jenna Michelle Odneal | Behavior Technician | 16915 Liverpool Pkwy. Suite B., Cornelius, NC 28301 | 2020-10-02 |
| 1790390094 | Jessica Shellman | Counselor | 408 Person St. Ste 103, Fayetteville, NC 28301 | 2020-09-14 |
| 1487205951 | Martha K Richardson | Technician | 720 Teachers Dr, Fayetteville, NC 28301 | 2019-09-25 |
| 1013568161 | Angela Rena Locklear | Counselor | 211 Lamon St, Fayeteville, NC 28301 | 2019-09-20 |
| 1619535747 | Teresa Wilson | Contractor | 1417 Canyionland Ct, Apt 209, Fayetteville, NC 28301 | 2019-06-04 |
| 1912461815 | Catherine Stevenson Nwogalanya | Community Health Worker | 1103 Hillsboro St., Fayetteville, NC 28301 | 2019-01-24 |
| 1811443187 | Michael Carroll | Counselor | 308 Peterson Place, Fayetteville, NC 28301 | 2016-08-28 |
| 1023499886 | Latifa Fedai | Nurse Practitioner | 380 Person Street, Fayettevill, NC 28301 | 2015-06-17 |
| 1265868939 | Aci Support Specialists | Community/Behavioral Health | 1725 Venna Drive, Fayetteville, NC 28301 | 2013-09-25 |
| 1871929547 | Aci Support Specialists | Day Training, Developmentally Disabled Services | 2820 Copenhagen Drive, Fayetteville, NC 28301 | 2013-09-25 |
| Find all providers in zip 28301 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| 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 |
|---|---|---|---|---|
| 1265707228 | Fayetteville Family Medical Care, Pa | Pharmacy | 1307 Avon St, Fayetteville, NC 28304-4423 | 2012-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629691555 | Grey & Teal | Pharmacy | 7910 Us Hwy 117 S Unit 110, Rocky Point, NC 28457-7409 | 2020-05-27 |
| 1316598873 | Island Pharmacy Inc | Pharmacy | 210 S Us Hwy 64/264, Manteo, NC 27954 | 2019-09-26 |
| 1043864598 | Stout Scripts, Inc. | Pharmacy | 200 West Fleming Dr, Morganton, NC 28655 | 2019-08-01 |
| 1548743826 | Asheville Mountain Pharmacy Inc | Pharmacy | 1272 Tunnel Rd Ste 20, Asheville, NC 28805-2100 | 2018-09-12 |
| 1770006355 | Surry Medical Ministries Clinic | Pharmacy | 813 Rockford St, Mount Airy, NC 27030-5321 | 2017-07-25 |
| 1235514860 | Student Stores Pharmacy | Pharmacy | Cb 1530 Daniels Building, 207 South Road, Chapel Hill, NC 27599-0001 | 2015-07-24 |
| 1366863144 | Helping Hands Clinic, Inc. | Pharmacy | 810 Harper Ave Nw, Lenoir, NC 28645-5083 | 2013-12-23 |
| 1174876189 | Campbell University Health Center, LLC | Pharmacy | 129 T. T. Lanier Street, Buies Creek, NC 27506 | 2012-10-16 |
| 1942535232 | Quality Care Pharmacy of The Sandhills | Pharmacy | 1103 Seven Lakes Drive, 6541 Seven Lakes Village, West End, NC 27376-9314 | 2009-10-05 |
| 1144355116 | Forsyth County North Carolina | Pharmacy | 725 N. Highland Ave, Winston-salem, NC 27101-4299 | 2007-02-22 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 28301 |
Please comment or provide details below to improve the information on FAYETTEVILLE STATE UNIVERSITY.
| 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.