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

Active since December 30, 2020CLIA Certified · 2 labs
2131 S 17TH ST, WILMINGTON, NC 28401(910) 667-5147(910) 815-5189 Get Directions Write a Review

NPPES record last updated: December 30, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Novant Health New Hanover Regional Medical Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER LLC (NPI 1053908509) is a healthcare organization registered as a pharmacy in Wilmington, North Carolina and active in the NPI registry since December 2020. The organization holds 2 active CLIA laboratory certificates and lists Jon Kevin Griffin, Svp Financial Plan & Analysis, as its authorized official.

NPPES Registry Identity

NPI1053908509
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameNOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER LLC
Location Address2131 S 17TH STWilmington, NC 28401-7407
Mailing Address101 N Cherry St Ste 600Winston Salem, NC 27101-4013 · (336) 277-1604 · Fax (336) 277-9584
Fax(910) 815-5189
Organization SubpartYes
Authorized OfficialJon Kevin GriffinSvp Financial Plan & Analysis · (704) 384-4182
Enumeration DateDecember 30, 2020
NPPES CertifiedDecember 30, 2020
NPI 1053908509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition
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.
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
2131 S 17TH ST, Wilmington, NC 28401

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 34D0018708

Novant Health New Hanover Regional Medical Center · Wilmington, NC
Active · expires Feb 8, 2027
CLIA Number34D0018708
Laboratory TypeHospital
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorDr. Stephen P. Olsen
Laboratory Phone(910) 343-7072
Laboratory LocationNovant Health New Hanover Regional Medical Center2131 South 17th Street, Wilmington, NC 28401
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 34D0857302

Novant Health New Hanover Regional Medical Center Nursing Services · Wilmington, NC
Active · expires Oct 31, 2026
CLIA Number34D0857302
Laboratory TypeHospital
Certificate Effective DateNovember 1, 2024
Certificate Expiration DateOctober 31, 2026
Laboratory DirectorStephen P. Olsen
Laboratory Phone(910) 667-2718
Laboratory LocationNovant Health New Hanover Regional Medical Center Nursing Services2131 South 17th Street, Wilmington, NC 28401
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Novant Health New Hanover Regional carries, from the Medicare DMEPOS supplier directory.

Novant Health New Hanover Regional

DMEPOS supplier · Wilmington, NCOperated by Novant Health New Hanover Regional Medical Center LLC

Accepts Medicare assignment

Novant Health New Hanover Regional agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20408219
Medicare Participant SinceJanuary 8, 2021
Supplier Location2131 S 17th StWilmington, NC 28401
Supplier Specialties
Pharmacy

Medicare Product Categories

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
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Rehabilitation Hospital
2131 S 17TH ST
WILMINGTON, NC 28401
Nurse Practitioner (Neonatal, Critical Care)
2131 S 17TH ST
WILMINGTON, NC 28401
Hospitalist
2131 S 17TH ST
WILMINGTON, NC 28401
Family Medicine
2131 S 17TH ST
WILMINGTON, NC 28401
Registered Nurse (Critical Care Medicine)
2131 S 17TH ST
WILMINGTON, NC 28401
Hospitalist
2131 S 17TH ST
WILMINGTON, NC 28401
Hospitalist
2131 S 17TH ST
WILMINGTON, NC 28401
Nurse Practitioner
2131 S 17TH ST
WILMINGTON, NC 28401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Novant Health New Hanover Regional Medical Center LLC's NPI number?

The NPI number for Novant Health New Hanover Regional Medical Center LLC is 1053908509. It was assigned to this organization in the NPPES registry on December 30, 2020.

Where is Novant Health New Hanover Regional Medical Center LLC located?

Novant Health New Hanover Regional Medical Center LLC is located at 2131 S 17th St, Wilmington, NC 28401. The listed phone number is (910) 667-5147.

What is Novant Health New Hanover Regional Medical Center LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Novant Health New Hanover Regional Medical Center LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Novant Health New Hanover Regional accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Novant Health New Hanover Regional Medical Center LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Novant Health New Hanover Regional Medical Center LLC was last updated on December 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.