PUNGO DISTRICT HOSPITAL CORPORATION — NPI 1114068780 (Licensed & Credentialed Suppliers — Pharmacy, Institutional Pharmacy in BELHAVEN, NC)

CMS-1500 Box 24J / 33a • NPI

1114068780

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

3336I0012X (CMS 58)

Licensed & Credentialed Suppliers — Pharmacy, Institutional Pharmacy

Box 32 Service Location & ZIP+4

202 E WATER ST, BELHAVEN, NC, 27810-1450

✓ 9-Digit EDI 837 ZIP+4 (27810-1450)

Practice Phone & Referral Fax

(252) 943-2111

Fax: (252) 944-2236

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1114068780 (PUNGO DISTRICT HOSPITAL CORPORATION) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1114068780` (NPI-2 Organization / Facility)
Provider / Legal Name	PUNGO DISTRICT HOSPITAL CORPORATION
Plain-English Specialty	Licensed & Credentialed Suppliers — Pharmacy, Institutional Pharmacy NUCC Code: `3336I0012X` (Pharmacy, Institutional Pharmacy)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	202 E WATER ST, BELHAVEN, NC, 27810-1450
Practice Telephone / Fax	Tel: (252) 943-2111 \| Fax: (252) 944-2236
Administrative Mailing Address	202 E WATER ST, BELHAVEN, NC, 27810-1450
Enumeration & Last Sync	Enumerated: 2007-02-08 \| CMS Record Updated: 2012-03-06
Authorized Official	WILLIAM CASE (President)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

202 E WATER ST, BELHAVEN, NC, 27810-1450

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Plain-English Taxonomy & CMS Crosswalk (3336I0012X)

What Does Taxonomy Code 3336I0012X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 3336I0012X translates to:
"Licensed & Credentialed Suppliers — Pharmacy, Institutional Pharmacy"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 58 (Medical Supply Company with Pharmacist) • CMS Code A5 (Pharmacy)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Pharmacy, Institutional Pharmacy for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (PUNGO DISTRICT HOSPITAL CORPORATION)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`3336I0012X` — Pharmacy, Institutional Pharmacy Plain English: Licensed & Credentialed Suppliers — Pharmacy, Institutional Pharmacy	State: NC \| License: `04076` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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PUNGO DISTRICT HOSPITAL CORPORATION (NPI #1114068780)