WINSTON SALEM STATE UNIVERSITY (NPI# 1013319235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013319235 |
| Entity Type | Organization |
| Organization Name | WINSTON SALEM STATE UNIVERSITY |
| Other Organization Name | WSSU WELLNESS CENTER PHARMACY |
| Practice Address |
601 S Martin Luther King Jr Dr Suite 244 Winston Salem NC 27110-0003 |
| Practice Telephone | 3367503376 |
| Mailing Telephone | 3367503376 |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2017-04-21 |
| Authorized Official Name | BEVERLY IRBY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 33675098814 |
| Is Organization Subpart | Y |
| Parent Organization Name | WINSTON SALEM STATE UNIVERSITY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
12125 | NC | Suppliers |
| Other Name | Type Code |
|---|---|
| WSSU Wellness Center Pharmacy | Doing Business As Name - Organization |
| Street Address |
601 S MARTIN LUTHER KING JR DR SUITE 244 |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27110-0003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629005657 | Darrell Matthew Turner | Specialist/Technologist | 601 S Martin Luther King Jr Dr, Winston Salem, NC 27110-0003 | 2006-06-26 |
| 1265047161 | Hannah Martin | Occupational Therapist | 601 S Martin Luther King Jr Dr, Winston Salem, NC 27110-0001 | 2020-09-09 |
| 1033723077 | Brittany Dixon | Occupational Therapist | 601 S Martin Luther King Jr Dr, Winston Salem, NC 27110-0003 | 2020-09-08 |
| 1316552243 | Sheniah Campbell | Occupational Therapist | 601 S Martin Luther King Jr Dr, Winston Salem, NC 27110-0001 | 2020-09-08 |
| 1942815873 | Jaiven Knight | Occupational Therapist | 601 S Martin Luther King Jr Dr, Winston Salem, NC 27110-0003 | 2020-09-08 |
| 1235743204 | Troy Jones | Occupational Therapist | 601 S Martin Luther King Jr Dr, Winston Salem, NC 27110-0003 | 2020-09-07 |
| 1194339192 | Jonathan Brown | Occupational Therapist | 601 S Martin Luther King Jr Dr, Winston Salem, NC 27110-0003 | 2020-09-07 |
| 1013521079 | Jonelle Claricia Bedford | Occupational Therapist | 601 S Martin Luther King Jr Dr, Winston Salem, NC 27110-0003 | 2020-09-06 |
| 1033723267 | Savannah K Dorman | Occupational Therapist | 601 S Martin Luther King Jr Dr, Winston Salem, NC 27110-0003 | 2020-09-04 |
| 1902410079 | Greyson Ray | Occupational Therapist | 601 S Martin Luther King Jr Dr, Winston Salem, NC 27110-0003 | 2020-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326652454 | Erica Shade | Occupational Therapist | 601 Martin Luther King Jr. Dr, 432 Fl Atkins Building, Winston-salem, NC 27110 | 2020-09-05 |
| 1841804838 | Lisa Hartwell | Occupational Therapist | 601 Martin Luther King Jr. Dr, 432 Fl Atkins Building, Winston-salem, NC 27110 | 2020-09-07 |
| 1801140702 | Dina Vallabh | Speech-Language Pathologist | 155 Baker House Trent Drive, Durham, NC 27110 | 2012-10-31 |
| 1386258432 | Valerie Miller | Student in an Organized Health Care Education/Training Program | 601 Mlk Jr Dr, Winston Salem, NC 27110-0001 | 2020-09-05 |
| 1942814074 | Joyous Hawkins | Student in an Organized Health Care Education/Training Program | 601 S Martin Luther King, Winston Salem, NC 27110-0001 | 2020-09-05 |
| 1306450408 | Katlyn Maiolo | Occupational Therapist | 601 Martin Luther King Jr. Drive, 432 Fl Atkins Building, Winston-salem, NC 27110-0001 | 2020-09-04 |
| 1649884701 | Lila Grafius | Occupational Therapist | 601 Martin Luther King Dr 432 Fl Atkins Building, Winston Salem, NC 27110-0001 | 2020-09-04 |
| 1326652504 | Emily Claire Skoglund | Student in an Organized Health Care Education/Training Program | 601 S Martin Luther King Jr Dr Fl 432, Winston Salem, NC 27110-0001 | 2020-09-03 |
| 1366927659 | Judy Larose Foxworth | Physical Therapist | 601 S Mlk Jr Drive F L Atkins Bldg Rm 333, Winston Salem, NC 27110-0001 | 2018-10-02 |
| 1285138123 | Jessica Um | Occupational Therapist | 601 Martin Luther King Jr Dr, 432 Fl Atkins Building, Winston-salem, NC 27110-0001 | 2018-03-23 |
| Find all providers in zip 27110 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972958361 | Nuestra Farmacia | Pharmacy | 516 Waughtown Street, Winston Salem, NC 27107-6835 | 2016-05-04 |
| 1235400128 | Robinhood Family Pharmacy LLC | Pharmacy | 3443 Robinhood Rd, Ste S, Winston Salem, NC 27106-4760 | 2012-01-24 |
| 1407188451 | Jai Siddhi Vinayak Inc. | Pharmacy | 1489 New Walkertown Rd, Winston Salem, NC 27101-3319 | 2010-02-02 |
| 1659512879 | Stanleyville Family Pharmacy Inc | Pharmacy | 475 Summit Square Blvd, Winston Salem, NC 27105-1485 | 2009-03-18 |
| 1962688598 | Walgreen Co. | Pharmacy | 1327 Meadowlark Dr, Winston Salem, NC 27106-9817 | 2008-01-14 |
| 1518042613 | Andrews Pharmacy, Inc. | Pharmacy | 1305 S Hawthorne Rd, Winston Salem, NC 27103-4121 | 2006-10-26 |
| 1124121975 | North Carolina Cvs Pharmacy LLC | Pharmacy | 3325 Robinhood Rd, Winston Salem, NC 27106-5403 | 2006-09-07 |
| 1669575007 | North Carolina Cvs Pharmacy LLC | Pharmacy | 855 Hanes Mall Blvd, Winston Salem, NC 27103-5526 | 2006-09-07 |
| 1578666269 | North Carolina Cvs Pharmacy LLC | Pharmacy | 5001 Country Club Rd, Winston Salem, NC 27104-4513 | 2006-09-07 |
| 1013924018 | Walgreen Co | Pharmacy | 3634 Reynolda Rd, Winston Salem, NC 27106-2230 | 2006-08-02 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27110 |
Please comment or provide details below to improve the information on WINSTON SALEM STATE UNIVERSITY.
| 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.