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Export Provider Record NPI 1164033981
Port Health Services
Organization Subpart: NO
Active
NPI Number1164033981
NPI TypeNPI-2 Organization
SpecialtyPharmacy, Long Term Care Pharmacy
Provider Details
NPI1164033981
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2020-08-14
Last Updated2023-05-15
Authorized OfficialBrett Beavers
Credentialing Manager
Phone: 9192107661
Mailing Address4300 Sapphire Ct Ste 110
Greenville, NC 27834-9079
United States
Phone: (252) 830-7540 | Fax: (252) 413-0932
📍 View Map
Primary Practice Address2602 Courtier Dr
Greenville, NC 27834-7818
United States
Phone: (252) 752-2971 | Fax: (252) 757-3172
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No3336C0002X – Pharmacy, Clinic Pharmacy
No3336C0003X – Pharmacy, Community/Retail Pharmacy
No3336I0012X – Pharmacy, Institutional Pharmacy
No3336S0011X – Pharmacy, Specialty Pharmacy
Yes3336L0003X – Pharmacy, Long Term Care Pharmacy
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About NPI 1164033981

Port Health Services is an organization registered in the CMS NPPES NPI Registry with NPI number 1164033981. The primary specialty listed is Pharmacy, Long Term Care Pharmacy. The organization is located in Greenville, NC. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2020-08-14. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1164033981?

NPI 1164033981 belongs to Port Health Services, a Pharmacy, Long Term Care Pharmacy in Greenville, NC. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1164033981 active?

The current status of NPI 1164033981 in the NPPES registry is Active. The record was last updated on 2023-05-15.

What specialty is NPI 1164033981?

NPI 1164033981 is classified under the taxonomy Pharmacy, Long Term Care Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1164033981?

You can verify NPI 1164033981 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1164033981?

The primary practice address on file for NPI 1164033981 is 2602 Courtier Dr, Greenville, NC 27834-7818. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1164033981 issued?

NPI 1164033981 was first issued (enumerated) on 2020-08-14. The NPPES record was last updated on 2023-05-15.

Practice Location Map

Port Health Services is located at 2602 Courtier Dr, Greenville, NC. Use the map below to find directions or verify the practice location.

📍 2602 Courtier Dr, Greenville, NC 27834-7818  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Port Health Services. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-07-06 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162