MRS. JILL E HABERKORN (NPI# 1780970608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780970608 |
| Entity Type | Individual |
| Full Name | MRS. JILL E HABERKORN |
| Credential | RPH |
| Practice Address |
1204 Sunburst Dr Goldsboro NC 27534-8202 |
| Mailing Address |
1204 Sunburst Dr T0964 Goldsboro NC 27534-8202 |
| Practice Telephone | 9197781521 |
| Practice Fax Number | 9197781521 |
| Mailing Telephone | 9197781521 |
| Mailing Fax Number | 9197781521 |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2011-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 17899 | NC | Pharmacy Service Providers |
| Street Address |
1204 SUNBURST DR |
| City | GOLDSBORO |
| State | NC |
| Zip Code | 27534-8202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073535639 | North Carolina Cvs Pharmacy LLC | Pharmacy | 1204 Sunburst Dr, Goldsboro, NC 27534-8202 | 2006-07-24 |
| 1124419544 | Christy Rose Westbrook | Pharmacy Technician | 1204 Sunburst Dr, Goldsboro, NC 27534-8202 | 2015-02-06 |
| 1619367133 | Rita Sweet | Pharmacy Technician | 1204 Sunburst Dr, Goldsboro, NC 27534-8202 | 2015-02-04 |
| 1316337835 | Lisa Cutlip | Pharmacy Technician | 1204 Sunburst Dr, Goldsboro, NC 27534-8202 | 2015-02-04 |
| 1639569155 | Sharon Williford Raynor | Pharmacy Technician | 1204 Sunburst Dr, Goldsboro, NC 27534-8202 | 2015-02-04 |
| 1659761120 | Tara Kaupa | Pharmacy Technician | 1204 Sunburst Dr, Goldsboro, NC 27534-8202 | 2015-02-04 |
| 1386930402 | Carla Biggs | Pharmacist | 1204 Sunburst Dr, T-0964, Goldsboro, NC 27534-8202 | 2011-06-27 |
| 1821384306 | Kimberly Starling Krentz | Pharmacist | 1204 Sunburst Dr, T0964, Goldsboro, NC 27534-8202 | 2011-06-23 |
| 1770879405 | Marcus Daniel Stovall | Pharmacist | 1204 Sunburst Dr, T-0964, Goldsboro, NC 27534-8202 | 2011-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457875767 | Trent Jonathan Forshey | Physical Therapist | 2126 Wayne Memorial Dr, Goldsboro, NC 27534 | 2017-07-28 |
| 1336685551 | Wayne Al Holdings, LLC | Assisted Living Facility | 901 West New Hope Rd, Goldsboro, NC 27534 | 2017-01-11 |
| 1952845471 | Latoya Faulk | Social Worker | 121 Carolina Forest Drive, Goldsboro, NC 27534 | 2016-12-19 |
| 1528415841 | Kelby Joseph Sage Durnin | Military Health Care Provider | 1020 Jabara Avenue, Seymour Johnson Afb, NC 27534 | 2016-05-17 |
| 1528490604 | Eric Christian Bourgeois | Physical Therapist | 1101a Gracie Pl, Goldsboro, NC 27534 | 2013-07-31 |
| 1831439165 | Erica Nicole Davis | Optometrist | 20/20 Vision Center 625 North Berkeley Blvd, Suite D, Goldsboro, NC 27534 | 2013-02-23 |
| 1891039236 | Betty Webb Zimmerman | Nurse Practitioner | 204 Cox Blvd, Goldsboro, NC 27534 | 2012-11-26 |
| 1144595265 | Life Recovery Psychological Services | Counselor | 1202-c Wayne Memorial Dr, Goldsboro, NC 27534 | 2012-03-22 |
| 1558596536 | Taylor Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 802 Taylor St, Goldsboro, NC 27534 | 2009-05-20 |
| 1780895136 | Sherrie Fennell Edwards | Dietitian, Registered | 1500 Lanely Ave., Seymour Johnson Afb, Golsboro, NC 27534 | 2007-05-25 |
| Find all providers in zip 27534 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083240691 | Nathalie Michelle Bentley | Pharmacist | 102 Sable Dr, Goldsboro, NC 27530-9022 | 2020-03-14 |
| 1376185348 | Adam Golos | Pharmacist | 2803 Medical, N Campus Dr, Goldsboro, NC 27531 | 2019-10-11 |
| 1245891464 | Laura Mello | Pharmacist | 514 Nc Highway 581 S, Goldsboro, NC 27530-7854 | 2019-06-27 |
| 1053766378 | Eddie Morales | Pharmacist | 150 Community Dr, Goldsboro, NC 27530-9408 | 2016-04-25 |
| 1013298512 | Charles Edward Raynor | Pharmacist | 408 Ashland Dr, Goldsboro, NC 27530-9165 | 2011-08-30 |
| 1154600252 | Jennifer Alphin Sutton | Pharmacist | 223 Nc 111 Hwy S, Goldsboro, NC 27534-9253 | 2011-08-08 |
| 1922306422 | John Wade Williamson | Pharmacist | 806 E Ash St, Goldsboro, NC 27530-3804 | 2011-03-08 |
| 1629387535 | Stephanus Christiaan Smith | Pharmacist | 100 S Berkeley Blvd, Goldsboro, NC 27534-4508 | 2010-09-27 |
| 1871801829 | Jennifer Lynn Nash | Pharmacist | 2203 Wayne Memorial Drive, Goldsboro, NC 27534-1723 | 2010-09-23 |
| 1164741567 | Jill Corbett | Pharmacist | 2606 East Ash St, Goldsboro, NC 27534-4254 | 2010-05-25 |
| Find all providers in GOLDSBORO | ||||
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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.