Triad Adult And Pediatric Medicine Inc is an authorized DME supplier for medicare equipments and products.
Triad Adult And Pediatric Medicine Inc is a Federally Qualified Health Center (FQHC) in High Point, North Carolina. It is located at 624 Quaker Ln Ste 100c, High Point and it's customer support contact number is 336-878-6027. The authorized person of Triad Adult And Pediatric Medicine Inc is Mr. Brian Ellerby, MSPH who is Chief Executive Officer of the pharmacy and his contact number is 336-272-1050.Triad Adult And Pediatric Medicine Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Triad Adult And Pediatric Medicine Inc is definition to come...
Pharmacy Details:
Triad Adult And Pediatric Medicine Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Triad Adult And Pediatric Medicine Inc
Type:
Federally Qualified Health Center (FQHC)
Location:
624 Quaker Ln Ste 100c, High Point, North Carolina, 27262-3832
Phone:
336-878-6027
Fax:
336-878-6189
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Mr. Brian Ellerby
Credentials:
MSPH
Position:
Chief Executive Officer
Contact Number:
336-272-1050
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1023318961
NPI Enumeration Date:
26 Oct, 2010
NPI Last Update On:
09 Aug, 2012
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Triad Adult And Pediatric Medicine Inc are as mentioned below.
Specialization
License Number
State
Status
Federally Qualified Health Center (FQHC)
Primary
Clinic Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
34-1964
Other
North Carolina
Medicare A
344044C
Medicaid
North Carolina
344044A
Medicaid
North Carolina
344044B
Medicaid
North Carolina
56162
Other
North Carolina
Medcost
3460235
Other
Ncpdp Provider Identification Number
024UE
Other
North Carolina
Bcbs Of Nc
34D1002754
Other
North Carolina
Clia
Medicare Enrollment:
Triad Adult And Pediatric Medicine Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
1850311986
O20111011000315
Triad Adult And Pediatric Medicine, Inc.
PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1046 E Wendover Ave, Greensboro, North Carolina
Zip:
27405-6712
Phone Number:
336-272-1050
Fax Number:
336-272-0155
Patients can reach Triad Adult And Pediatric Medicine Inc at 624 Quaker Ln Ste 100c, High Point, North Carolina or can call on customer care at 336-878-6027.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.