Healthcare Provider Details

I. General information

NPI: 1093107864
Provider Name (Legal Business Name): NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2015
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 SCOTTS HILL MEDICAL DR
WILMINGTON NC
28411-7983
US

IV. Provider business mailing address

2131 S 17TH ST P.O. BOX 9000
WILMINGTON NC
28401-7407
US

V. Phone/Fax

Practice location:
  • Phone: 910-662-9071
  • Fax: 910-662-9077
Mailing address:
  • Phone: 910-617-5147
  • Fax: 910-815-5189

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number12575
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL EDGERTON
Title or Position: DIRECTOR OF RETAIL & SPECIALTY RX
Credential: PHARMD
Phone: 910-667-5147