Provider Demographics
NPI:1033703905
Name:CHS PHARMACY SERVICES, INC.
Entity Type:Organization
Organization Name:CHS PHARMACY SERVICES, INC.
Other - Org Name:ATRIUM HEALTH PHARMACY MEDICAL CENTER PLAZA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF PHARMACY SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:BYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-512-3560
Mailing Address - Street 1:PO BOX 603216
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-3216
Mailing Address - Country:US
Mailing Address - Phone:704-355-6900
Mailing Address - Fax:704-355-6903
Practice Address - Street 1:1001 BLYTHE BLVD STE 201
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28203-5863
Practice Address - Country:US
Practice Address - Phone:704-355-6900
Practice Address - Fax:704-355-6903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-22
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC7N3216Medicaid
NC1033703905Medicaid