=====================================================
General NPI Number Information
=====================================================
NPI Number | 1801838370
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | UNC-CH STUDENT HEALTH SERVICE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/11/2006
-----------------------------------------------------
Last Update Date | 07/08/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 320 EMERGENCY RM DRIVE JAMES A TAYLOR BUILDING CB 7470
-----------------------------------------------------
City | CHAPEL HILL
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27599-7470
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 919-966-6556
-----------------------------------------------------
Fax | 919-966-6431
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | CB 7470 JAMES A TAYLOR BUILDING EMERGENCY DRIVE ROOM 3
-----------------------------------------------------
City | CHAPEL HILL
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27599-7470
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 919-966-6556
-----------------------------------------------------
Fax | 919-966-6431
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR OF PHARMACY
-----------------------------------------------------
Name | AMY SAULS
-----------------------------------------------------
Credential | PHARMD
-----------------------------------------------------
Telephone | 919-966-6556
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3336C0002X
-----------------------------------------------------
Taxonomy Name | Clinic Pharmacy
-----------------------------------------------------
License Number | 03025
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------