NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER LLC
NPI 1053908509
Pharmacy in Wilmington, NC

NPI Status: Active since December 30, 2020

Contact Information

2131 S 17TH ST
WILMINGTON, NC
ZIP 28401
Phone: (910) 667-5147
Fax: (910) 815-5189

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  • Organization
  • Pharmacy
  • Medicare Supplier
  • Accepts Medicare Approved Payment
  • CLIA Number: 34D0245728
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-22-2027

About NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER LLC

This page provides the complete NPI Profile along with additional information for Novant Health New Hanover Regional Medical Center Llc, a provider established in Wilmington, North Carolina operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1053908509 assigned on December 2020. The practitioner's primary taxonomy code is 333600000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Jon Kevin Griffin (Svp Financial Plan & Analysis)

NPI
1053908509
Provider Name
NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER LLC
Entity Type
Organization
Location Address
2131 S 17TH ST WILMINGTON, NC 28401
Location Phone
(910) 667-5147
Location Fax
(910) 815-5189
Mailing Address
101 N CHERRY ST STE 600 WINSTON SALEM, NC 27101
Mailing Phone
(336) 277-1604
Mailing Fax
(910) 815-5189
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-30-2020
Last Update Date
12-30-2020
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Novant Health New Hanover Regional Medical Center Llc is a medicare supplier with PTAN 20408219 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Infusion Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy

Taxonomy Code
333600000X
Type
Suppliers
Taxonomy Description
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
13336C0003XSuppliers

Pharmacy
Community/Retail Pharmacy

 
23336S0011XSuppliers

Pharmacy
Specialty Pharmacy

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JON KEVIN GRIFFIN

Authorized Official Title
SVP FINANCIAL PLAN & ANALYSIS
Authorized Official Phone
(704) 384-4182

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20408219
Accepts Medicare Assignment
YES
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • Epoetin - Epoetin is a man-made version of human erythropoietin (EPO)
  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • Infusion Drugs -
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Oral Anticancer Drugs - FDA anticancer drugs
  • Oral Antiemetic Drugs - FDA antiemetic drugs

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D0245728
Facility Type
Physician Office
Certificate Effective Date
December 23, 2025
Certificate Expiration Date
December 22, 2027
Laboratory Director
DR. RACHEL JESTER
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Novant Health New Hanover Regional Medical Center Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1053908509, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
0
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
5
Unchanged
Pos 9
0
Doubled → 0
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 9 → 18 → 9 8 → 16 → 7 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 0 + 3 + 1 + 8 + 0 + 1 + 6 + 5 + 0 + 24 = 51

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1053908509.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Surgery
2131 S 17TH ST
WILMINGTON, NC 28401
Surgery
2131 S 17TH ST
WILMINGTON, NC 28401
Obstetrics & Gynecology (Maternal & Fetal Medicine)
2131 S 17TH ST
WILMINGTON, NC 28401
Anesthesiology
2131 S 17TH ST
WILMINGTON, NC 28401
Anesthesiology
2131 S 17TH ST
WILMINGTON, NC 28401
Anesthesiology
2131 S 17TH ST
WILMINGTON, NC 28401
Anesthesiology
2131 S 17TH ST
WILMINGTON, NC 28401
Anesthesiology
2131 S 17TH ST
WILMINGTON, NC 28401
Anesthesiology
2131 S 17TH ST
WILMINGTON, NC 28401
Anesthesiology
2131 S 17TH ST
WILMINGTON, NC 28401
Anesthesiology
2131 S 17TH ST
WILMINGTON, NC 28401
Anesthesiology
2131 S 17TH ST
WILMINGTON, NC 28401
Anesthesiology
2131 S 17TH ST
WILMINGTON, NC 28401
Anesthesiology
2131 S 17TH ST
WILMINGTON, NC 28401
Anesthesiology
2131 S 17TH ST
WILMINGTON, NC 28401
Anesthesiology
2131 S 17TH ST
WILMINGTON, NC 28401
Anesthesiology
2131 S 17TH ST
WILMINGTON, NC 28401
Anesthesiology
2131 S 17TH ST
WILMINGTON, NC 28401
Anesthesiology
2131 S 17TH ST
WILMINGTON, NC 28401
Nurse Anesthetist, Certified Registered
2131 S 17TH ST
WILMINGTON, NC 28401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053908509, enumerated as an "organization" on December 30, 2020.

The provider is located at 2131 S 17TH ST WILMINGTON, NC 28401 and the phone number is (910) 667-5147.

Pharmacy with taxonomy code 333600000X.