BLUE RIDGE HEALTHCARE HOSPITALS INC (NPI# 1184760795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184760795 |
| Entity Type | Organization |
| Organization Name | BLUE RIDGE HEALTHCARE HOSPITALS INC |
| Other Organization Name | BLUE RIDGE LONG TERM CARE PHARMACY |
| Practice Address |
298 Perkins Rd Se Valdese NC 28690-9403 |
| Practice Telephone | 8285805464 |
| Practice Fax Number | 8288742679 |
| Mailing Telephone | 8285805464 |
| Mailing Fax Number | 8288742679 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2015-12-31 |
| Authorized Official Name | RON FULMER (PHARMACY MANAGER) |
| Authorized Official Telephone | 8285805464 |
| Authorized Official Credential | BS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
08253 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 0125070 | 05 | |
| PK | 2067509 | 01 |
| Other Name | Type Code |
|---|---|
| BLUE RIDGE LONG TERM CARE PHARMACY | Doing Business As Name - Organization |
| Street Address |
298 PERKINS RD SE |
| City | VALDESE |
| State | NC |
| Zip Code | 28690-9403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093074817 | Frank J Grill | Pharmacist | 298 Perkins Rd Se, Valdese, NC 28690-9403 | 2012-05-14 |
| 1134423536 | Paul Jeffrey Mosier | Pharmacist | 298 Perkins Rd Se, Valdese, NC 28690-9403 | 2010-12-29 |
| 1962711010 | Alexandria Estes Powell | Pharmacist | 298 Perkins Rd Se, Blue Ridge Long Term Care Pharmacy, Valdese, NC 28690 | 2010-10-06 |
| 1831384361 | Paula Stomierosky Metcalf | Pharmacy Technician | 298 Perkins Rd Se, Valdese, NC 28690-9403 | 2007-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275047714 | Lisa Davis Joyner | Registered Nurse | 4366 Berry School Ave., Valdese, NC 28690 | 2017-11-20 |
| 1902259963 | Jennifer Burgess | Speech-Language Pathologist | 127 Main Street West, Valdese, NC 28690 | 2016-07-14 |
| 1972748044 | Valdese General Hospital, Inc. | Durable Medical Equipment & Medical Supplies | 201 St. Germain Ave S.w., Valdese, NC 28690 | 2008-12-03 |
| 1669667192 | Deatra La Verne Harbison | Pharmacist | 298 Perkins Ave, Valdese, NC 28690 | 2007-09-07 |
| 1124183454 | Cristy Dixon | Family Medicine | 2659 Us Hwy 70e, Valdese, NC 28690 | 2006-12-27 |
| 1629173836 | S & J Medical | Durable Medical Equipment & Medical Supplies | 132 Main St E, Valdese, NC 28690 | 2006-09-13 |
| 1316987043 | William Thomas Johanson | Family Medicine | 2659 Us Hwy 70 East, Valdese, NC 28690 | 2006-06-08 |
| 1740848662 | Blueridge Healthcare Surgery Center, LLC | Clinic/Center | 720 Malcolm Blvd, Valdese, NC 28690 | 2019-06-05 |
| 1851701627 | Modern Treatment Healthcare Services, Pllc | Clinic/Center | 400 Main St W Ste 9, Valdese, NC 28690 | 2014-05-02 |
| 1417243502 | Angela L. Anderson | Nurse Practitioner | 319 Springwood Dr Ne, Valdese, NC 28690 | 2011-06-27 |
| Find all providers in zip 28690 | ||||
| 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 |
|---|---|---|---|---|
| 1962584755 | Rock Drug of Valdese LLC | Pharmacy | 240 Main St W, Valdese, NC 28690-2835 | 2006-10-20 |
| 1841660826 | Rock Drug of Valdese, LLC | Pharmacy | 240 Main St W, Valdese, NC 28690-2835 | 2015-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336747872 | Jordon Baker Acquisitions, Inc. | Pharmacy | 604 S Hwy 226, Bakersville, NC 28705 | 2020-10-16 |
| 1871100164 | Pittsboro Pharmacy | Pharmacy | 630 East St Ste 11, Pittsboro, NC 27312-9475 | 2020-09-30 |
| 1245847599 | Western Brothers LLC | Pharmacy | 1943 E 7th St, Charlotte, NC 28204-2417 | 2020-09-29 |
| 1881200897 | University of North Carolina Health Care System | Pharmacy | 100 Eastowne Dr Ste 1100, Chapel Hill, NC 27514-2286 | 2020-09-16 |
| 1730792615 | Jill Manning West | Pharmacy | 118 Mackenan Dr., Suite 200, Cary, NC 27511 | 2020-08-28 |
| 1912516196 | Avs 2020 Inc | Pharmacy | 6118 Farrington Rd Ste H, Chapel Hill, NC 27517-8108 | 2020-07-23 |
| 1780202788 | Rosemond Salia | Pharmacy | 720 E Highway 74 Business, Rockingham, NC 28379 | 2020-07-07 |
| 1801410295 | Scenic Pharmacy, Inc | Pharmacy | 113 Scenic Outlet Ln Ste 1, Mount Airy, NC 27030-9978 | 2020-06-02 |
| 1356977672 | Cape Fear Discount Drug - Hope Mills, LLC | Pharmacy | 3018 N Main St, Hope Mills, NC 28348-1722 | 2020-03-18 |
| 1639705957 | Cape Fear Discount Drug - Ramsey, LLC | Pharmacy | 4417 Ramsey St, Fayetteville, NC 28311-2134 | 2020-03-18 |
| Find all providers with the same taxonomy | ||||
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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.