Healthcare Provider Details

I. General information

NPI: 1316079247
Provider Name (Legal Business Name): NORTH CAROLINA BAPTIST HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2007
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MEDICAL CENTER BLVD 1ST FLOOR COMP CNCR CTR BLDG
WINSTON SALEM NC
27157-0001
US

IV. Provider business mailing address

MEDICAL CENTER BLVD 1ST FLOOR COMP CNCR CTR BLDG
WINSTON SALEM NC
27157-0001
US

V. Phone/Fax

Practice location:
  • Phone: 336-713-6808
  • Fax: 336-713-6800
Mailing address:
  • Phone: 336-713-6808
  • Fax: 336-713-6800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number1027933
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number08424
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number0214001594
License Number StateVA

VIII. Authorized Official

Name: REGINA H SCHOMBERG
Title or Position: DIRECTOR OF PHARMACY
Credential: PHARMD, BCPS
Phone: 336-716-3421