NORTH CAROLINA A T STATE UNIVERSITY (NPI# 1114234903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114234903 |
| Entity Type | Organization |
| Organization Name | NORTH CAROLINA A T STATE UNIVERSITY |
| Other Organization Name | SEBASTIAN STUDENT HEALTH CENTER |
| Practice Address |
112. N. Benbow Road Greensboro NC 27411-0001 |
| Practice Telephone | 3362852908 |
| Practice Fax Number | 3362562903 |
| Mailing Telephone | 3362852908 |
| Mailing Fax Number | 3362562903 |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2016-05-27 |
| Authorized Official Name | MRS. BANNIE H HATCH (PHARMACY MANAGER) |
| Authorized Official Telephone | 3362852908 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
Suppliers | ||
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
04312 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 3421358 | 01 |
| Other Name | Type Code |
|---|---|
| Sebastian Student Health Center | Doing Business As Name - Organization |
| Street Address |
112. N. BENBOW ROAD |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27411-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659674927 | Vivian Barnette | Psychologist | 109 Murphy Hall, Greensboro, NC 27411 | 2010-12-08 |
| 1720120637 | North Carolina A&t State University | Clinic/Center | 112 N. Benbow Road, Greensboro, NC 27411 | 2007-02-14 |
| 1346884731 | Niakesha Frazier | Registered Nurse | 112 N Benbow Road, Greensboro, NC 27411 | 2019-10-29 |
| 1902313208 | Makrizzel Galvez | Specialist/Technologist | 1601 E Market Street Bryan Fitness and Wellness Center, Greensboro, NC 27411-0001 | 2018-01-08 |
| 1033247200 | Charles Edward Lownes Sr. | Student in an Organized Health Care Education/Training Program | 1601 E Market St, Ncat Student Health Center, Greensboro, NC 27411-0001 | 2007-03-01 |
| 1023595014 | Ashleigh Shambley Dragnev | Nurse Practitioner | 112 N Benbow Rd, Greensboro, NC 27411-0001 | 2018-07-23 |
| 1295226199 | Abla Djigbodi Afatsawo | Nurse Practitioner | 112 N Benbow Rd, Greensboro, NC 27411-0001 | 2018-05-25 |
| 1811398498 | Michael Teal | Pharmacist | 112 N Benbow Rd, Greensboro, NC 27411-0001 | 2014-09-15 |
| 1144629833 | North Carolina A&t State University | Clinic/Center | 112 N Benbow Rd, Greensboro, NC 27411-0002 | 2014-08-19 |
| 1689136996 | Linnea Dafne Katsarou | Specialist/Technologist | 1601 E Market St, Greensboro, NC 27411-0002 | 2019-04-04 |
| Find all providers in zip 27411 | ||||
| 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 |
|---|---|---|---|---|
| 1235483785 | Triad Adult and Pediatric Medicine Inc | Pharmacy | 1046 E Wendover Ave, Greensboro, NC 27405-6712 | 2012-11-06 |
| 1720377724 | Triad Adult and Pediatric Medicine Inc | Pharmacy | 1002 S Eugene St, Greensboro, NC 27406-1308 | 2011-03-31 |
| 1063712727 | Triad Adult and Pediatric Medicine, Inc. | Pharmacy | 1002 S Eugene St, Greensboro, NC 27406-1308 | 2010-10-28 |
| 1124170725 | University of North Carolina At Greensboro | Pharmacy | 107 Gray Drive, Room 147a, Greensboro, NC 27402-0001 | 2007-01-17 |
| 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 | GREENSBORO |
| Zip Code | 27411 |
Please comment or provide details below to improve the information on NORTH CAROLINA A T 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.