DR. WILLIAM MACK KING IV (NPI# 1700212552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700212552 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM MACK KING IV |
| Other Name | MACKIE KING |
| Credential | PHARMD |
| Practice Address |
2131 S 17th St Pharmacy Wilmington NC 28401-7407 |
| Mailing Address |
1725 New Hanover Medical Park Dr Wilmington NC 28403-5345 |
| Practice Telephone | 9106629358 |
| Mailing Telephone | 9106629358 |
| Mailing Fax Number | 9106629301 |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2017-05-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
13497 | SC | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
23578 | NC | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215362892 | William J. King | Family Medicine | 543 Warwick Rd, Deptford, NJ 08096-6027 | 2013-09-13 |
| 1083905160 | William Burns King | Dentist | 1023 Manatee Ave W, Suite #701, Bradenton, FL 34205-7816 | 2011-04-25 |
| 1861675738 | William Waymon King IIi | Dentist | 2170 Big Spring Rd, Mcminnville, TN 37110-3896 | 2007-12-13 |
| 1720280274 | William P King | Dentist | 133 Cherrybark Dr, Lexington, KY 40503 | 2007-06-05 |
| 1831391929 | William Ross King Jr. | Chiropractor | 15348 Se Division St, Portland, OR 97236-2345 | 2007-06-01 |
| 1497966725 | William Joseph King Jr. | Counselor | 1815 Nw Flanders St Ste 201, Portland, OR 97209-2060 | 2007-05-25 |
| 1639205115 | William Joseph King | Case Manager/Care Coordinator | 5700 Nw 27th Ct, Lauderhill, FL 33313-2389 | 2007-02-26 |
| 1760536148 | William Lee King | Chiropractor | 511 Locust Street, Marshall, IL 62441 | 2007-01-22 |
| 1457411670 | William King Jr. | Obstetrics & Gynecology | 2302 East Allegheny Avenue, Philadelphia, PA 19134 | 2006-12-11 |
| 1447331673 | William Stuart King | Chiropractor | 3755 Alhambra Ave Ste 6, Martinez, CA 94553-3833 | 2006-10-17 |
| Street Address |
2131 S 17TH ST PHARMACY |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28401-7407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992708747 | Wilmington Anesthesiologists Pllc | Anesthesiology | 2131 S 17th St, Wilmington, NC 28401-7407 | 2005-05-24 |
| 1316548159 | Thomas Martin Leighton | Nurse Practitioner | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-11-06 |
| 1902406176 | Jeff Marsh | Registered Nurse | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-10-27 |
| 1629685664 | Bobbie Sheatsley | Nurse Anesthetist, Certified Registered | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-09-24 |
| 1699393504 | Megan Grogan | Nurse Anesthetist, Certified Registered | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-07-07 |
| 1215556550 | Salman Khan | Student in an Organized Health Care Education/Training Program | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-04-15 |
| 1760001028 | John William Miller Jr. | Student in an Organized Health Care Education/Training Program | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-04-15 |
| 1588283246 | Amanda Kristin Briese | Student in an Organized Health Care Education/Training Program | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-04-13 |
| 1689293300 | Broc D Astill | Student in an Organized Health Care Education/Training Program | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-04-13 |
| 1467071423 | Siten Patel | Student in an Organized Health Care Education/Training Program | 2131 S 17th St, Wilmington, NC 28401-7407 | 2020-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
| 1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
| 1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
| 1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
| 1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
| 1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
| 1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
| 1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
| 1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
| Find all providers in zip 28401 | ||||
| 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 |
|---|---|---|---|---|
| 1639701915 | Kayla Mccord | Pharmacist | 1230 Rombach Ave, Wilmington, OH 45177-1943 | 2020-02-05 |
| 1164053211 | Jessica Delbecq | Pharmacist | 1230 Rombach Ave, Wilmington, OH 45177-1943 | 2020-01-28 |
| 1366084063 | Active Care Farmacia; Inc | Pharmacist | 1203 N Avalon Blvd Ste A, Wilmington, CA 90744-2646 | 2019-10-14 |
| 1841714391 | Dallas Tolbard | Pharmacist | 1601 Kirkwood Hwy, Wilmington, DE 19805-4917 | 2017-07-26 |
| 1285000455 | Megan Hughes | Pharmacist | 1202 Medical Center Dr, Wilmington, NC 28401-7307 | 2015-08-11 |
| 1831529619 | Junius Baugh | Pharmacist | 1601 Kirkwood Hwy, Wilmington, DE 19805-4917 | 2013-11-15 |
| 1376807685 | Christopher James | Pharmacist | 1400 N Washington St, Wilmington, DE 19801-1024 | 2012-07-02 |
| 1992076418 | Joseph Peoples | Pharmacist | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2012-01-13 |
| 1295010296 | Dawn Munford | Pharmacist | 2119 Concord Pike, Wilmington, DE 19803-2906 | 2011-10-21 |
| 1003107020 | Wayne S Moore II | Pharmacist | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2011-04-25 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28401 |
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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.