Provider Demographics
NPI:1083051353
Name:UNIVERSITY OF NORTH CAROLINA HOSPITALS AT CHAPEL HILL
Entity Type:Organization
Organization Name:UNIVERSITY OF NORTH CAROLINA HOSPITALS AT CHAPEL HILL
Other - Org Name:UNC SHARED SERVICE CENTER PHARMACY-DEPARTMENT OF UNC HOSPITALS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO OF UNC HOSPITALS
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:ELLINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:984-974-5112
Mailing Address - Street 1:4400 EMPEROR BLVD
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-8418
Mailing Address - Country:US
Mailing Address - Phone:919-957-5603
Mailing Address - Fax:866-385-5009
Practice Address - Street 1:4400 EMPEROR BLVD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-8418
Practice Address - Country:US
Practice Address - Phone:919-957-5603
Practice Address - Fax:866-385-5009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-28
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC115023336M0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0002XSuppliersPharmacyMail Order Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0725270005Medicare NSC