Healthcare Provider Details

I. General information

NPI: 1992922090
Provider Name (Legal Business Name): PITT COUNTY MEMORIAL HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 VENTURE TOWER DR
GREENVILLE NC
27834-2871
US

IV. Provider business mailing address

PO BOX 6028
GREENVILLE NC
27835-6028
US

V. Phone/Fax

Practice location:
  • Phone: 252-847-4311
  • Fax: 252-847-1344
Mailing address:
  • Phone: 252-847-4311
  • Fax: 252-847-1344

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number07764
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. JAY T BRILEY
Title or Position: CFO
Credential:
Phone: 252-847-5104