Triad Adult And Pediatric Medicine, Inc.
Federally Qualified Health Center (FQHC)
1002 S Eugene St, Greensboro
North Carolina, 27406-1308
336-355-9701 336-676-6140
Triad Adult And Pediatric Medicine, Inc. is a Federally Qualified Health Center (FQHC) in Greensboro, North Carolina. It is located at 1002 S Eugene St, Greensboro and it's customer support contact number is 336-355-9701. The authorized person of Triad Adult And Pediatric Medicine, Inc. is Mr. Brian K Ellerby, MSPH who is Chief Executive Officer of the pharmacy and his contact number is 336-355-9696. 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: | 1002 S Eugene St, Greensboro,
North Carolina, 27406-1308 |
| Phone: | 336-355-9701 |
| Fax: | 336-676-6140 |
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 K Ellerby |
| Credentials: | MSPH |
| Position: | Chief Executive Officer |
| Contact Number: | 336-355-9696 |
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: | 1063712727 |
| NPI Enumeration Date: | 28 Oct, 2010 |
| NPI Last Update On: | 26 Nov, 2013 |
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 | 10670 | North Carolina | 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 |
| 34D0700291 | Other | | Clia |
| 2348638A | Other | North Carolina | Medicare Part B |
| 344045A | Medicaid | North Carolina | |
| 3460247 | Other | | Ncpdp |
| 56162 | Other | North Carolina | Medcost |
| 34-1962 | Other | North Carolina | Medicare Part A |
| 344045B | Medicaid | North Carolina | |
| 344045C | Medicaid | North Carolina | |
| 024UF | Other | North Carolina | Bcbs |
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 | O20111011000583 | 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: | 1002 S Eugene St,
Greensboro, North Carolina |
| Zip: | 27406-1308 |
| Phone Number: | 336-355-9701 |
| Fax Number: | 336-676-6140 |
Patients can reach Triad Adult And Pediatric Medicine, Inc. at
1002 S Eugene St, Greensboro, North Carolina or can
call on customer care at 336-355-9701.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.