Healthcare Provider Details

I. General information

NPI: 1790365526
Provider Name (Legal Business Name): UNITED HEALTH CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2021
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 PETERS CREEK PKWY STE 16-19
WINSTON SALEM NC
27127-3726
US

IV. Provider business mailing address

2101 PETERS CREEK PKWY STE 16-19
WINSTON SALEM NC
27127-3726
US

V. Phone/Fax

Practice location:
  • Phone: 336-293-8728
  • Fax: 336-999-7657
Mailing address:
  • Phone: 336-293-8728
  • Fax: 336-999-7657

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: RYAN DAVIS
Title or Position: PHARMACY MANAGER
Credential: PHARMD
Phone: 336-529-5691