EAST CAROLINA UNIVERSITY (NPI# 1619027034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619027034 |
| Entity Type | Organization |
| Organization Name | EAST CAROLINA UNIVERSITY |
| Other Organization Name | FAMILY PRACTICE CENTER PHARMACY |
| Practice Address |
101 Heart Dr Greenville NC 27834-8982 |
| Mailing Address |
Po Box 75514 Charlotte NC 28275-0514 |
| Practice Telephone | 2527445507 |
| Practice Fax Number | 2527443804 |
| Mailing Telephone | 2527440483 |
| Mailing Fax Number | 2527442709 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2017-04-19 |
| Authorized Official Name | JEFFREY JACKSON (DIRECTOR OF PHARMACY SERVICES) |
| Authorized Official Telephone | 2527445990 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
03751 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2069202 | 01 | |
| NC | 0745364 | 05 |
| Other Name | Type Code |
|---|---|
| FAMILY PRACTICE CENTER PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396989133 | East Carolina University | Community/Behavioral Health | College of Allied Health Sciences-ecu, Dars - Navigate Counseling Clinic, Greenville, NC 27858-4353 | 2009-04-23 |
| 1760507990 | East Carolina University | Social Worker | Irons Building-oglesby Dr., Greenville, NC 27858 | 2007-03-20 |
| 1770622797 | East Carolina University | Pharmacy | 270 Easy St, Greenville, NC 27834-9012 | 2007-02-06 |
| 1760559926 | East Carolina University | Clinic/Center | 1001 East Fifth Street, Greenville, NC 27858-4353 | 2006-11-30 |
| 1033161575 | East Carolina University | Family Medicine | Family Medicine Center, Moye Blvd., Greenville, NC 27858 | 2006-05-16 |
| 1720039241 | East Carolina University | Family Medicine | Viquest, 2610 Stantonsburg Road, Greenville, NC 27835 | 2006-05-12 |
| 1558312934 | East Carolina University | Audiologist | Ecu, Belk Annex 5, Dept. of Communication Sciences & Disorders, Greenville, NC 27858 | 2006-05-12 |
| 1114978517 | East Carolina University | Family Medicine | Human Performance Lab, 363 Ward Sports Medicine Building, Greenville, NC 27858 | 2006-05-12 |
| 1649229667 | East Carolina University | Family Medicine | 110 Railroad Street, Bethel Family Medicine Center, Bethel, NC 27812 | 2006-05-08 |
| 1851853592 | East Carolina University | Family Medicine | 101 Heart Dr, Greenville, NC 27834-8982 | 2019-04-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EAST CAROLINA UNIVERSITY | 1000 E 5th St, Greenville, NC 27858-2502 |
| Oklahoma Business Registrations | EAST CAROLINA UNIVERSITY | 105 Spilman Bldg, Greenville, NC 27858 |
| Oklahoma Business Registrations | EAST CAROLINA UNIVERSITY ALUMNI ASSOCIATION, INC. | 901 East 5th St, Greenville, NC 27858 |
| Oklahoma Business Registrations | EAST CAROLINA UNIVERSITY EDUCATIONAL FOUNDATION, INC. | 304 Ward Sports Medicine Bldg, Greenville, NC 27858 |
| Oklahoma Business Registrations | EAST CAROLINA UNIVERSITY FOUNDATION, INC. | 2200 South Charles Blvd Mail Stop 301, Greenville, NC 27858 |
| Oklahoma Business Registrations | EAST CAROLINA UNIVERSITY MEDICAL & HEALTH SCIENCES FOUNDATION, INC. | 525 Moye Blvd, Greenville, NC 27834 |
| Street Address |
101 HEART DR |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27834-8982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548253693 | Gary I Levine | Family Medicine | 101 Heart Dr, Ecu Physicians Family Practice Center, Greenville, NC 27834-8944 | 2005-08-24 |
| 1487251062 | Violet Noe | Health Educator | 101 Heart Dr, Greenville, NC 27834-8982 | 2020-10-06 |
| 1639709462 | Jalesa Denise Venning | Physician Assistant | 101 Heart Dr, Greenville, NC 27834-8982 | 2020-01-21 |
| 1225670086 | Allison Honeycutt Clark | Specialist/Technologist | 101 Heart Dr, Greenville, NC 27834-8982 | 2019-10-14 |
| 1780234187 | Amy Wedge | Physical Therapist | 101 Heart Dr, Greenville, NC 27834-8982 | 2019-09-17 |
| 1750940763 | Sonya Makeba King-daniels | Pharmacist | 101 Heart Dr, Greenville, NC 27834-8982 | 2019-06-12 |
| 1649838210 | Courtney Robinson | Dietitian, Registered | 101 Heart Dr, Greenville, NC 27834-8982 | 2019-05-30 |
| 1851853592 | East Carolina University | Family Medicine | 101 Heart Dr, Greenville, NC 27834-8982 | 2019-04-02 |
| 1114483955 | Julia Ivey Johnstone | Dietitian, Registered | 101 Heart Dr, Greenville, NC 27834-8982 | 2019-02-18 |
| 1366914764 | Jennifer Ann Stegmiller | Nurse Practitioner | 101 Heart Dr, Greenville, NC 27834 | 2018-12-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
| 1194347138 | Soban Ahmad | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 | 2020-05-13 |
| 1427687789 | Brandon Allen Yates | Student in an Organized Health Care Education/Training Program | 435 Clinic Drive, Greenville, NC 27834 | 2020-04-07 |
| 1144854407 | Kristen Springer Dreyfus | Marriage & Family Therapist | 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 | 2020-02-26 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
| 1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| Find all providers in zip 27834 | ||||
| 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 |
|---|---|---|---|---|
| 1770622797 | East Carolina University | Pharmacy | 270 Easy St, Greenville, NC 27834-9012 | 2007-02-06 |
| 1043460520 | East Carolina University Brody School of Medicine- Pharmacy Services | Pharmacy | 600 Moye Blvd, Lake Side Annex #1, Room 9, Greenville, NC 27834-4300 | 2008-09-22 |
| 1942350392 | East Carolina University | Pharmacy | 517 Moye Blvd, Greenville, NC 27834-2849 | 2007-01-10 |
| 1386709194 | Family Health Services of Darke County | Pharmacy | 5735 Meeker Rd, Greenville, OH 45331-1180 | 2006-12-22 |
| 1669589230 | East Carolina University | Pharmacy | 600 Moye Blvd, Room 240, Greenville, NC 27834-4300 | 2006-08-23 |
| 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 | GREENVILLE |
| Zip Code | 27834 |
Please comment or provide details below to improve the information on EAST CAROLINA 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.