WESTERN WAKE MEDICAL CENTER PHARMACY (NPI# 1306873781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306873781 |
| Entity Type | Organization |
| Organization Name | WESTERN WAKE MEDICAL CENTER PHARMACY |
| Practice Address |
1900 Kildaire Farm Rd Cary NC 27511-6616 |
| Practice Telephone | 9193502300 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2010-03-22 |
| Authorized Official Name | MR. MICHAEL D DEVAUGHN (SR VP AND CFO) |
| Authorized Official Telephone | 9193508000 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | Y |
| Parent Organization Name | WAKEMED |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 05371 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 0349W | 01 |
| Street Address |
1900 KILDAIRE FARM RD |
| City | CARY |
| State | NC |
| Zip Code | 27511-6616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114993086 | Wakemed | General Acute Care Hospital | 1900 Kildaire Farm Rd, Cary, NC 27518-6616 | 2006-02-28 |
| 1487252599 | Kathryn Renee Walsh | Registered Nurse | 1900 Kildaire Farm Rd, Cary, NC 27518-6616 | 2020-10-12 |
| 1982210746 | Wakemed | Clinical Medical Laboratory | 1900 Kildaire Farm Rd, Cary, NC 27518-6616 | 2020-09-17 |
| 1396390514 | Alexandra Rosse Ginn | Physician Assistant | 1900 Kildaire Farm Rd, Cary, NC 27518-6616 | 2019-08-05 |
| 1366003634 | Christianne Barwick Springfield | Physical Therapist | 1900 Kildaire Farm Rd, Cary, NC 27518-6616 | 2019-06-26 |
| 1891257903 | Kavithamani Mallan | Nurse Practitioner | 1900 Kildaire Farm Rd, Cary, NC 27518-6616 | 2019-04-05 |
| 1225503030 | Edward Deering | Nurse Practitioner | 1900 Kildaire Farm Rd, Cary, NC 27518-6616 | 2018-10-08 |
| 1740762608 | Alicia Coral Mathew | Social Worker | 1900 Kildaire Farm Rd, Cary, NC 27518-6616 | 2018-09-06 |
| 1770062580 | Dorothy Brown Swanson | Physician Assistant | 1900 Kildaire Farm Rd, Cary, NC 27518-6616 | 2018-08-13 |
| 1245775246 | Satilla Brooke Cyphers | Anesthesiologist Assistant | 1900 Kildaire Farm Rd, Cary, NC 27518-6616 | 2016-12-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730792615 | Jill Manning West | Pharmacy | 118 Mackenan Dr., Suite 200, Cary, NC 27511 | 2020-08-28 |
| 1275145658 | Next Level Counseling, Pllc | Community/Behavioral Health | Tele-therapy Only, Cary, NC 27511 | 2020-08-18 |
| 1801429568 | Cheryl Perozek Reid | Physical Therapist | Brightstar Cary, 102 Commonwealth Court Unit K, Cary, NC 27511 | 2020-02-20 |
| 1912543075 | Courtney Hansen | Specialist/Technologist | 103 Fountain Brook Circle, D2, Cary, NC 27511 | 2019-11-25 |
| 1619438512 | Karlianna E.s Williams | Behavior Technician | 111 Mackenan, Cary, NC 27511 | 2019-03-25 |
| 1992272058 | Best Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 590 E Chatham Street, Ste 108, Cary, NC 27511 | 2018-10-26 |
| 1275015620 | Edward Michael Sleigh | Marriage & Family Therapist | 110 Iowa Ln, Ste 204, Cary, NC 27511 | 2018-09-02 |
| 1477044048 | Leonard Deleon | Pharmacist | 1230 Se Maynard Rd # 202, Cary, NC 27511 | 2018-05-19 |
| 1932699030 | Valerie Hunter Whidbee | Specialist | 139 E Chatham Street, Suite 105, Cary, NC 27511 | 2018-05-14 |
| 1588153878 | Ashley Horak Gyori | Speech-Language Pathologist | 905 Balmoral Dr, Cary, NC 27511 | 2018-05-02 |
| Find all providers in zip 27511 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538700810 | White Dove Pharmacy, LLC. | Pharmacy | 2751 Nc 55 Hwy, Cary, NC 27519-6206 | 2019-10-08 |
| 1780010074 | Aspirar Pharmacy LLC | Pharmacy | 135 Parkway Office Ct Ste 105, Cary, NC 27518-7425 | 2013-09-19 |
| 1124301098 | One Stop Pharmacy, Inc. | Pharmacy | 530 New Waverly Place, Suite 301, Cary, NC 27518 | 2011-09-27 |
| 1558307447 | Ashworth Rexall Drugs Inc | Pharmacy | 105 W Chatham St, Cary, NC 27511-3331 | 2006-06-21 |
| 1265854053 | Medisuite | Pharmacy | 160 Macgregor Pines Dr, Suite 110, Cary, NC 27511-6036 | 2014-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163135 | Bl Apothecary | Pharmacy | 2739 W 5th St, Lumberton, NC 28358-7819 | 2020-10-31 |
| 1730795873 | Vaxclinic, LLC | Pharmacy | 4400 Park Rd Ste 316, Charlotte, NC 28209-3289 | 2020-09-22 |
| 1720692908 | Geriatrx | Pharmacy | 1655 Snowmass Way, Durham, NC 27713-4514 | 2020-09-03 |
| 1245841279 | Novant Health Pharmacy Services, LLC | Pharmacy | 125 Queens Rd Ste 180, Charlotte, NC 28204-3215 | 2020-08-13 |
| 1912516287 | Pinetops Pharmacy, Inc. | Pharmacy | 102 W. Hamlet St, Pinetops, NC 27864 | 2020-07-23 |
| 1952920860 | Rx Care 14 LLC | Pharmacy | 7701 Sharon Lakes Road, Suite H, Charlotte, NC 28210 | 2020-04-10 |
| 1629618285 | Dalia Zaghlool | Pharmacy | 4353 Milhaven Park Ln, Winston Salem, NC 27106-4970 | 2020-01-12 |
| 1770123887 | Scotland Memorial Hospital Inc | Pharmacy | 700 Progress Pl, Laurinburg, NC 28352-5545 | 2020-01-07 |
| 1194361832 | Realo Veterinary Pharmacy Inc | Pharmacy | 3800 Gateway Centre Blvd Ste 308a, Morrisville, NC 27560-6220 | 2019-11-18 |
| 1952946246 | Emily Hodges Hall | Pharmacy | 627 E 12th Street, Washington, NC 27889 | 2019-11-11 |
| Find all providers with the same taxonomy | ||||
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| 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.