OrganizationActive
Port Health Services
NPI 1164033981 · Long Term Care Pharmacy · Greenville, NC
Provider details
- NPI number
- 1164033981
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Brett Beavers, Credentialing Manager(919) 210-7661
Specialties & taxonomies
Suppliers
- Clinic Pharmacy3336C0002X
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
- Institutional Pharmacy3336I0012X
Suppliers
- Specialty Pharmacy3336S0011X
Suppliers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2602 Courtier Dr
Greenville, NC 27834-7818
Phone: (252) 752-2971
Fax: (252) 757-3172
Street-level locationGet directions
Mailing address
4300 Sapphire Ct Ste 110
Greenville, NC 27834-9079
Registry dates
- Enumerated
- 2020-08-14
- Last updated
- 2023-05-15
- Certified
- 2023-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.