Family Practice Center Pharmacy

LBN: East Carolina University
Family Practice Center Pharmacy is an health care organization with primary practice located at 101 Heart Dr , Greenville NC 27834-8982. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Mail Order Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. East Carolina University can be contacted via phone (252) 744-5507, or through Jackson, Jeffrey via phone (252) 744-5990.

Contact Information

Primary practice address
101 Heart Dr Greenville NC 27834-8982
Fax: (252) 744-3804
Website:
Authorized official contact:
Name: Jackson, Jeffrey PHARMD

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X 03751 North Carolina
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Mail Order Pharmacy 3336M0002X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1619027034
LBN Legal business name East Carolina University
DBA Doing business as Family Practice Center Pharmacy
Authorized official Jackson, Jeffrey PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2007
Last updated Apr 19th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619027034 NPPES
North Carolina MEDICAID 0745364
North Carolina Other 2069202

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