ELIZABETH CITY STATE UNIVERSITY STUDENT HEALTH SERVICES PHARMACY (NPI# 1841581550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841581550 |
| Entity Type | Organization |
| Organization Name | ELIZABETH CITY STATE UNIVERSITY STUDENT HEALTH SERVICES PHARMACY |
| Practice Address |
1704 Weeksville Rd Elizabeth City NC 27909-7977 |
| Practice Telephone | 2523353267 |
| Practice Fax Number | 2523353269 |
| Mailing Telephone | 2523353267 |
| Mailing Fax Number | 2523353269 |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2011-04-28 |
| Authorized Official Name | REGINA MCCOY-DAVIS (DIRECTOR) |
| Authorized Official Telephone | 2523353268 |
| Authorized Official Credential | RN-BSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
09433 | NC | Ambulatory Health Care Facilities |
| Street Address |
1704 WEEKSVILLE RD |
| City | ELIZABETH CITY |
| State | NC |
| Zip Code | 27909-7977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902832439 | La Tanja Amelia Batiste | Specialist/Technologist | 1704 Weeksville Rd, Elizabeth City, NC 27909-7977 | 2006-06-25 |
| 1811543549 | Ryle Garland | Specialist/Technologist | 1704 Weeksville Rd, Elizabeth City, NC 27909-7977 | 2019-08-19 |
| 1083056287 | Ecsu Student Health Services | Clinic/Center | 1704 Weeksville Rd, Elizabeth City, NC 27909-7977 | 2013-07-29 |
| 1346352432 | Jennifer Lynn Robertson | Pharmacist | 1704 Weeksville Rd, Campus Box 973, Elizabeth City, NC 27909-7806 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482177 | Leslie Treherne-fayton Dds Pllc | Dentist | 3875 Conlon Way Ste A, Elizabeth City, NC 27909 | 2020-03-13 |
| 1053829077 | Kaitlyn Daniels | Counselor | 1825 West City Drive, Suites A&b, Elizabeth City, NC 27909 | 2018-01-11 |
| 1487183778 | Traniqua Mccullen | Social Worker | 314 Orchard Drive, Elizabeth City, NC 27909 | 2017-06-08 |
| 1760938401 | Lauren Noele Schaefer | Physical Therapist | 615 S Hughes Boulevard, Unit B, Elizabeth City, NC 27909 | 2016-09-01 |
| 1588023279 | Regina Mccoy | Nurse Practitioner | 1507 N Road St Ste 3, Elizabeth City, NC 27909 | 2016-02-23 |
| 1750753760 | Mark C. ''chris'' Patterson | Physician Assistant | Coast Guard Base Elizabeth City, 1664 Weeksville Road, Building 128, Elizabeth City, NC 27909 | 2015-10-29 |
| 1770963365 | Harlan Bradley Hurdle | Pharmacist | 104 Breezewood Drive, Elizabeth City, NC 27909 | 2015-06-09 |
| 1558779298 | Wilkiam Wilson | Counselor | 1290 Halstead Blvd, Elizabeth City, NC 27909 | 2014-07-25 |
| 1871919886 | Courtney Bunch | Specialist/Technologist | 1680 Cedar Point Circle, Elizabeth City, NC 27909 | 2014-03-14 |
| 1790100832 | The Power of U | Community/Behavioral Health | 1023 Us17s Suite 1, Elizabeth City, NC 27909 | 2014-02-26 |
| Find all providers in zip 27909 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316021892 | Albemarle Regional Health Services | Clinic/Center | 1417 Parkview Dr, Elizabeth City, NC 27909-6533 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460603 | Fonshaunna Alston | Clinic/Center | 107 Grandimere Ct, Durham, NC 27703-9613 | 2020-09-04 |
| 1255949731 | New Life Peer Support and Coaching LLC | Clinic/Center | 3450 Toringdon Way, Suite 200, Charlotte, NC 28277 | 2020-07-21 |
| 1790306819 | Aeroflow Connect LLC | Clinic/Center | 3165 Sweeten Creek Rd, Asheville, NC 28803-2115 | 2020-04-29 |
| 1811518244 | Haven Total Wellness, Pllc | Clinic/Center | 149 Woodlawn St Suite C, West End, NC 27376 | 2020-04-27 |
| 1073156931 | Coastal Carolina Primary Care, Pllc | Clinic/Center | 15441 Us Highway 17 N Ste 501, Hampstead, NC 28443-0016 | 2019-10-23 |
| 1396303178 | Chiroduo | Clinic/Center | 6816 Ray Rd, Raleigh, NC 27613-3237 | 2019-06-05 |
| 1780147108 | Legacy Health Pa | Clinic/Center | 3049 Senna Dr, Matthews, NC 28105-6727 | 2019-04-11 |
| 1114496502 | Acupuncture Balanced Health | Clinic/Center | 112 Perkins Dr Ste 200, Chapel Hill, NC 27514-1786 | 2018-11-15 |
| 1972071884 | Our Health Lab Inc | Clinic/Center | 1411 Asheville Hwy, Hendersonville, NC 28791-2301 | 2018-11-08 |
| 1679041552 | Serenity Rehabilitation Services | Clinic/Center | 2216 W Meadowview Rd Ste 201, Greensboro, NC 27407-3401 | 2018-11-08 |
| Find all providers with the same taxonomy | ||||
| City | ELIZABETH CITY |
| Zip Code | 27909 |
Please comment or provide details below to improve the information on ELIZABETH CITY STATE UNIVERSITY STUDENT HEALTH SERVICES PHARMACY.
| 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.