MEDICARE: NORTH CAROLINA BAPTIST HOSPITAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251F00000X	Home Infusion Agency
2	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)
3	3336H0001X	Home Infusion Therapy Pharmacy
4	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1578406179
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH CAROLINA BAPTIST HOSPITAL

Provider Business Mailing Address
First Line	:	635 VINE ST STE 3400
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27101-4185
Country	:	US
Telephone Number	:	336-713-8075
Fax Number	:

Provider Business Practice Location Address
First Line	:	635 VINE ST STE 3400
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27101-4185
Country	:	US
Telephone Number	:	336-713-8075
Fax Number	:

Authorized Official
Title or Position	:	AVP RETAIL AND SPECIALTY PHARMACY
Name	:	REGINA SCHOMBERG
Credential	:
Telephone Number	:	336-713-3421

Provider Enumeration Date	:	04/10/2026
Last Update Date	:	04/10/2026

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