OrganizationActive
Mecklenburg County
NPI 1164143996 · Clinic Pharmacy · Charlotte, NC
Provider details
- NPI number
- 1164143996
- Entity type
- Organization
- Primary specialty
- Clinic PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Raynard Washington, Health Director(980) 579-0671
Specialties & taxonomies
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
430 Stitt Road
Mecklenburg County Public Health Department
Charlotte, NC 28213
Phone: (704) 336-6400
Fax: (704) 432-0217
Approximate (ZIP-level) locationGet directions
Mailing address
249 Billingsley Rd
Charlotte, NC 28211-1003
Other names (DBA / former)
- Doing business as
- Mecklenburg County Health Dept - Northeast Campus
Registry dates
- Enumerated
- 2022-09-09
- Last updated
- 2023-05-04
- Certified
- 2023-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.