WAKEMED (NPI# 1912446709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912446709 |
| Entity Type | Organization |
| Organization Name | WAKEMED |
| Other Organization Name | WAKEMED EMPLOYEE PHARMACY |
| Practice Address |
3024 New Bern Ave Raleigh NC 27610-1247 |
| Practice Telephone | 9193502200 |
| Practice Fax Number | 9193502203 |
| Mailing Telephone | 9193502200 |
| Mailing Fax Number | 9193502203 |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-03-09 |
| Authorized Official Name | ALEXANDER JENKINS (MANAGER, AMBULATORY PHARMACY SERVIC) |
| Authorized Official Telephone | 9193507065 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
13169 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2167909 | 01 |
| Other Name | Type Code |
|---|---|
| WakeMed Employee Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987170 | Wakemed | Clinical Medical Laboratory | Wakemed Raleigh Reference, 3000 New Bern Avenue, Raleigh, NC 27610-1295 | 2020-09-21 |
| 1053488346 | Wakemed | Ambulance | 1 Sunnybrook Rd, Raleigh, NC 27610-1807 | 2006-11-29 |
| 1124094008 | Wakemed | Skilled Nursing Facility | 400 W Ransom St, Fuquay Varina, NC 27526-2434 | 2006-02-28 |
| 1366418246 | Wakemed | Skilled Nursing Facility | 535 W Gannon Ave, Zebulon, NC 27597-2599 | 2006-02-28 |
| 1114993086 | Wakemed | General Acute Care Hospital | 1900 Kildaire Farm Rd, Cary, NC 27518-6616 | 2006-02-28 |
| 1982210746 | Wakemed | Clinical Medical Laboratory | 1900 Kildaire Farm Rd, Cary, NC 27518-6616 | 2020-09-17 |
| 1194907717 | Wakemed | Family Medicine | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2007-12-05 |
| 1285665521 | Wakemed | Pharmacy | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2006-07-05 |
| 1790752236 | Wakemed | Rehabilitation Unit | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2006-03-03 |
| 1972579837 | Wakemed | Medicare Defined Swing Bed Unit | 3000 New Bern Ave, Raleigh, NC 27610-1295 | 2006-02-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WAKEMED HEALTH AND HOSPITALS | 3000 New Bern Ave Ste G100, Raleigh, NC 27610-1231 |
| North Carolina Corporations | Wakemed Property Services | 3000 New Bern Ave, Raleigh, NC 27610-1295 |
| North Carolina Corporations | WakeMed Specialists Group LLC | 3000 New Bern Avenue, Raleigh, NC 27610 |
| North Carolina Corporations | WakeMed Surgery Center-North Raleigh LLC | 3000 New Bern Avenue, Raleigh, NC 27610 |
| North Carolina Corporations | WakeMed Surgical Ventures LLC | 3000 New Bern Avenue, Raleigh, NC 27610 |
| Street Address |
3024 NEW BERN AVE |
| City | RALEIGH |
| State | NC |
| Zip Code | 27610-1247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588664924 | Lynn M Rebello | Pediatrics | 3024 New Bern Ave, Raleigh, NC 27610 | 2005-07-28 |
| 1275158206 | Alejandro Ramirez Lopez | Physician Assistant | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2020-06-16 |
| 1588225759 | Wakemed Specialists Group, LLC | Preventive Medicine | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-06-27 |
| 1821659079 | Sharon Elizabeth Booth | Physician Assistant | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-06-27 |
| 1790343366 | Wakemed Specialists Group LLC | Pediatrics | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-05-30 |
| 1225693419 | Wakemed Specialists Group LLC | Surgery | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-05-03 |
| 1720643927 | Wakemed Specialists Group, LLC | Otolaryngology | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-05-03 |
| 1649835836 | Wakemed Specialists Group, LLC | Internal Medicine | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-05-03 |
| 1205491487 | Wakemed Specialists Group LLC | Urology | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-05-03 |
| 1639734817 | Wakemed Specialists Group, LLC | Nutritionist | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499243 | Elizabeth Ranganai Mavindidze | Social Worker | Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 | 2020-05-18 |
| 1851958839 | Alex & Associates, P.C. | Dentist | 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 | 2019-05-24 |
| 1639646367 | Carol Mary Medins | Dietitian, Registered | Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 | 2018-10-31 |
| 1144714601 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 | 2018-06-19 |
| 1417446006 | Eagles Eye Lab, Inc | Clinical Medical Laboratory | 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 | 2018-05-09 |
| 1316465206 | Jeffery King Neer | Social Worker | 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 | 2017-08-31 |
| 1083139885 | Kelsey Daniel Mccleave | Social Worker | 3630 Enduring Freedom Drive, Raleigh, NC 27610 | 2017-08-14 |
| 1891219093 | Tarheel Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4840 Quarryman Road, Raleigh, NC 27610 | 2017-07-29 |
| 1508214826 | Compassionate Care Providers LLC | Respite Care | 5110 Wetlands, Raleigh, NC 27610 | 2016-05-26 |
| 1730552530 | Matthew Belair | Pharmacist | 1601-51 Cross Link Rd, Raleigh, NC 27610 | 2015-11-03 |
| Find all providers in zip 27610 | ||||
| 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 |
|---|---|---|---|---|
| 1366073777 | Medly Raleigh Inc. | Pharmacy | 3029 Capital Blvd Ste 105, Raleigh, NC 27604-3377 | 2020-02-04 |
| 1184264897 | Springfield Pharmacy LLC | Pharmacy | 6325 Falls of Neuse Rd Ste 65, Raleigh, NC 27615-6884 | 2020-01-10 |
| 1972146967 | Atlantic Avenue Pharmaceutical, Inc | Pharmacy | 5621 Atlantic Ave, Suite 103, Raleigh, NC 27615 | 2019-10-22 |
| 1639646532 | Oakridge Rx LLC | Pharmacy | 2406 Blue Ridge Rd Ste 180, Raleigh, NC 27607-6692 | 2018-10-29 |
| 1093258295 | U.S. Pharmamed, LLC | Pharmacy | 3450 Tarheel Dr., Ste #101 Bldg. 4, Attn: Licensing, Raleigh, NC 27609 | 2016-11-21 |
| 1821465568 | North Carolina Cvs Pharmacy LLC | Pharmacy | 3001 Hillsborough St, Suite 100, Raleigh, NC 27607-5434 | 2015-08-28 |
| 1073909701 | Onerx, LLC | Pharmacy | 8490 Honeycutt Rd, Suite 103, Raleigh, NC 27615-2262 | 2015-04-09 |
| 1831587476 | Harris Teeter LLC | Pharmacy | 2051 W Millbrook Road, Raleigh, NC 27612 | 2015-01-06 |
| 1780072975 | Harris Teeter LLC | Pharmacy | 2051 W. Millbrook Road, Raleigh, NC 27612 | 2014-12-23 |
| 1346657129 | Morgan Street Pharmacy LLC | Pharmacy | 927 W Morgan St, Ste 100, Raleigh, NC 27603-1600 | 2014-07-14 |
| Find all providers in RALEIGH | ||||
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| 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.