ANGELA BARNES (NPI# 1174942908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174942908 |
| Entity Type | Individual |
| Full Name | ANGELA BARNES |
| Practice Address |
4006 Henderson Dr Jacksonville NC 28546-0055 |
| Practice Telephone | 9103536406 |
| Mailing Telephone | (910) 353-6406 |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2017-08-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | RPH-0013705 | OR | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH-0013705 | OR | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295276657 | Angela M Barnes | Licensed Practical Nurse | 844 Eastward Cir, Zanesville, OH 43701-1554 | 2017-03-17 |
| 1790902864 | Angela Lee Barnes | Physical Therapy Assistant | 6700 Antioch Road, Ste430, Merriam, KS 66204 | 2007-04-19 |
| 1760952410 | Angela S Barnes | Nurse Practitioner | 3460 Old Washington Rd Ste 300, Waldorf, MD 20602-3245 | 2018-11-26 |
| 1699260513 | Angela Rachel Barnes | Optometrist | 3075 Hamrick Rd, Central Point, OR 97502 | 2018-06-22 |
| 1609311646 | Angela M Barnes | Registered Nurse | 2435 Ne Cumulus Ave, Suite A, Mcminnville, OR 97128-8805 | 2016-12-29 |
| 1790135002 | Angela Barnes | Nurse Practitioner | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2016-06-17 |
| 1932572351 | Angela Marie Barnes | Occupational Therapist | 2525 S 135th Ave, Omaha, NE 68144-2424 | 2015-11-06 |
| 1992059273 | Angela Marie Barnes | Nurse Practitioner | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2012-11-07 |
| 1558619080 | Angela Terese Barnes | Speech-Language Pathologist | 1952 E 7000 S, Salt Lake City, UT 84121-6877 | 2012-08-15 |
| 1003173022 | Angela Barnes | Family Medicine | 2875 Union Rd, Suite 8, Cheektowaga, NY 14227-1470 | 2012-04-15 |
| Street Address |
4006 HENDERSON DR |
| City | JACKSONVILLE |
| State | NC |
| Zip Code | 28546-0055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316578388 | Judylyn Hobson | Registered Nurse | Pride In North Carolina, LLC, 3886 Henderson Dr, Jacksonville, NC 28546 | 2020-01-29 |
| 1427694637 | Aaron Patrick Bettcher | Military Health Care Provider | 3rd Mrb Loop Rd, Camp Lejeune, NC 28546 | 2019-11-22 |
| 1962044289 | Levi Scott Marshall | Military Health Care Provider | Everett Creek Road, Building 612, Camp Lejeune, NC 28546 | 2019-10-09 |
| 1649826652 | Nicholas Otazo | Military Health Care Provider | 3rd Mrb 20073, Camp Lejeune, NC 28546 | 2019-08-15 |
| 1417519570 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2001 Marlin Drive Unit 100, Jacksonville, NC 28546 | 2019-06-28 |
| 1023500212 | Josip Ninrodriguez | Military Health Care Provider | 3d Marine Raider Battaliom, Camp Lejeune, NC 28546 | 2018-06-04 |
| 1639661192 | Kenneth Lee Russell | Military Health Care Provider | 3d Marine Raider Battalion, Camp Lejeune, NC 28546 | 2018-05-31 |
| 1346730173 | Coastal Foot Center, LLC | Clinic/Center | 29 Office Park Dr Ste B, Jacksonville, NC 28546 | 2018-05-17 |
| 1578080271 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 380 Western Blvd, Jacksonville, NC 28546 | 2017-08-24 |
| 1144757493 | Darin Lee Peterson | Specialist/Technologist | G644 Camp Geiger, School of Infantry-east, Jacksonville, NC 28546 | 2017-05-17 |
| Find all providers in zip 28546 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912343492 | Alyson Gibson Wilder | Pharmacist | 13925 Fish Eagle Dr E, Jacksonville, FL 32226-5894 | 2013-05-10 |
| 1235368473 | Dione Kisha Washington | Pharmacist | 10137 Lancashire Dr, Jacksonville, FL 32219-4367 | 2009-07-09 |
| 1659986529 | Henry Lee Simmons Jr. | Pharmacist | 2080 Child St, Jacksonville, FL 32214-5005 | 2020-09-09 |
| 1356954911 | Haleigh Diane Shelton | Pharmacist | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-08-24 |
| 1649880097 | Meseret Tilahun Dabi | Pharmacist | 655 W 8th St # C-89, Jacksonville, FL 32209-6511 | 2020-07-31 |
| 1962040550 | Mara George | Pharmacist | 103 Gregory Pl, Jacksonville, AR 72076-3211 | 2019-12-15 |
| 1699326223 | Mariya Kotova | Pharmacist | 655 W 8th St, Jacksonville, FL 32209-6511 | 2019-09-25 |
| 1386099406 | Tracy Nicole Coker Durrett | Pharmacist | 655 W 8th St, Jacksonville, FL 32209-6511 | 2016-04-26 |
| 1831527878 | Lori Serrano Fiallo | Pharmacist | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2013-10-30 |
| 1588005680 | Lindsey Shea Tate | Pharmacist | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2013-07-17 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 28546 |
Please comment or provide details below to improve the information on ANGELA BARNES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.