PREMISE HEALTH (NPI# 1023469228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023469228 |
| Entity Type | Organization |
| Organization Name | PREMISE HEALTH |
| Other Organization Name | THE LIVING WELL HEALTH CENTER - DOWNTOWN PLAZA |
| Practice Address |
401 N Main St Winston Salem NC 27101-3804 |
| Mailing Address |
475 Summit Square Blvd Winston Salem NC 27105-1485 |
| Practice Telephone | 3367415106 |
| Mailing Telephone | 3363773979 |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2016-06-29 |
| Authorized Official Name | JOYCE JENSEN (DIRECTOR SITE OPERATIONS) |
| Authorized Official Telephone | 9044011175 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 12513 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2160657 | 01 |
| Other Name | Type Code |
|---|---|
| The Living Well Health Center - Downtown Plaza | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114378312 | Premise Health | Pharmacy | 7855 Doral Dr, Tobaccoville, NC 27050-9002 | 2016-06-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Premise Health Employer Solutions LLC | 5500 Maryland Way, Suite 200, Brentwood, Tennessee 37027 |
| Iowa Business Entities | PREMISE HEALTH EMPLOYER SOLUTIONS, LLC | 5500 Maryland Way Suite 200, Brentwood, TN 37027 |
| Oregon Corporations, Companies and Business Names | PREMISE HEALTH EMPLOYER SOLUTIONS, LLC | 5500 Maryland Way Ste 200, Brentwood, TN 37027 |
| Washington State Corporations | PREMISE HEALTH EMPLOYER SOLUTIONS, LLC | 5500 Maryland Way Ste 120, Brentwood, TN 37027-4993 |
| Colorado Business Entities | Premise Health Employer Solutions, LLC | 5500 Maryland Way Ste 120, Brentwood, TN 37027 |
| New York State Corporations | PREMISE HEALTH FITNESS SERVICES, LLC | 80 State Street, Albany, Ny 122072543 |
| Iowa Business Entities | PREMISE HEALTH OF IOWA MEDICAL, P.C. | 5500 Maryland Way Ste. 120, Brentwood, TN 37027 |
| Oregon Corporations, Companies and Business Names | PREMISE HEALTH OF OREGON MEDICAL, P.C. | 5500 Maryland Wy Ste 120, Brentwood, TN 37027 |
| Street Address |
401 N MAIN ST |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27101-3804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543976 | Mh Medical Services, PC | Nurse Practitioner | 401 N Main St, Winston Salem, NC 27101-3804 | 2019-11-25 |
| 1619370400 | Chs North Carolina Medical, PC | General Practice | 401 N Main St, Winston Salem, NC 27101-3804 | 2014-10-07 |
| 1154383073 | Kristin A Teague | Specialist/Technologist | 401 N Main St, Winston Salem, NC 27101-3804 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003421876 | Annie Carolina Mccollum | Occupational Therapist | 3 S Martin Luther King Jr Dr, Winston-salem, NC 27101 | 2020-09-09 |
| 1891321337 | Philippe Ayres | Personal Emergency Response Attendant | 475 Vine St., Bowman Gray Center for Medical Education, Winston-salem, NC 27101 | 2020-03-17 |
| 1497385595 | Aereil Moore | Counselor | 655 West 4th St, Winston Salem, NC 27101 | 2020-01-17 |
| 1619519428 | Brandi Melissa Decriscio | Nurse Practitioner | 1200 N Martin Luther King Jr Drive, Winston-salem, NC 27101 | 2019-10-14 |
| 1316502909 | Burke Street Chiropractic, Pllc | Chiropractor | 1016 Burke St., Winston-salem, NC 27101 | 2019-05-08 |
| 1790349728 | Nakia Carter | Counselor | 1o1o W. Northwest Boulevard, Winston-salem, NC 27101 | 2019-04-25 |
| 1003391251 | Hannah Fortwengler Rainey | Nurse Anesthetist, Certified Registered | Medical Center Blvrd, Winston-salem, NC 27101 | 2018-10-03 |
| 1750875928 | Susan Wilhelm Patterson | Nurse Practitioner | 1200 Martin Luther King Jr Dr, Winston-salem, NC 27101 | 2018-06-20 |
| 1194228049 | Anjanette Gilley Benjamin | Counselor | 650 Highland Ave Ste 1000, Winston Salem, NC 27101 | 2018-03-16 |
| 1376054627 | Paulisha Da-shawna Mcintyre | Social Worker | 650 Highland Ave Ste 101, Winston Salem, NC 27101 | 2017-10-13 |
| Find all providers in zip 27101 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629618285 | Dalia Zaghlool | Pharmacy | 4353 Milhaven Park Ln, Winston Salem, NC 27106-4970 | 2020-01-12 |
| 1306270574 | Triad Choice Pharmacy | Pharmacy | 626 E Monmouth St, Winston Salem, NC 27107-3227 | 2013-08-23 |
| 1437448701 | Robinhood Family Pharmacy LLC | Pharmacy | 3443 Robinhood Rd Ste S, Winston Salem, NC 27106-4760 | 2011-04-07 |
| 1912147455 | Hospice Pharmacy Services Inc | Pharmacy | 3072 Trenwest Dr Ste A, Winston Salem, NC 27103-3219 | 2009-02-24 |
| 1447322235 | Tsca Inc | Pharmacy | 3719 Reynolda Rd, Winston Salem, NC 27106-2231 | 2006-11-15 |
| 1639241425 | Elbj Inc | Pharmacy | 1345 N Liberty St, Winston Salem, NC 27105-6625 | 2006-11-15 |
| 1780777110 | Jonestown Pharmacy, Inc | Pharmacy | 300 Jonestown Rd, Ste 5, Winston Salem, NC 27104-4621 | 2006-09-30 |
| 1871603407 | Costco Wholesale Corporation | Pharmacy | 1085 Hanes Mall Blvd, Winston Salem, NC 27103-1310 | 2006-08-30 |
| 1376978999 | North Carolina Baptist Hospital | Pharmacy | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2013-09-13 |
| 1205261146 | Crisis Control Ministry Inc | Pharmacy | 200 E 10th St, Winston Salem, NC 27101-1512 | 2013-09-11 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27101 |
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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.