NPI 1154615128 · live from the CMS NPI Registry
Behavioral Health Pharmacy
Pharmacy, Long Term Care Pharmacy in Wilmington, NC. National Provider Identifier 1154615128, active.
NPI record
| NPI | 1154615128 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Long Term Care Pharmacy 3336L0003X |
| Practice location | 2033 Corporate Dr Ste B2, Wilmington, NC 28405 |
| Practice phone | 910-859-8211 |
| Mailing address | 3480 Eastern Blvd, Montgomery, AL 36116 |
| Enumerated | June 7, 2011 |
| Last updated | September 14, 2026 |
| Authorized official | January Green, Chro |
| Other names | Pharmacy Healthcare Innovations, LLC |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy | 333600000X | — |
| Pharmacy, Long Term Care Pharmacy primary | 3336L0003X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.