DR. SANDY LIGHTFOOT ROBERTSON (NPI# 1073746954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073746954 |
| Entity Type | Individual |
| Full Name | DR. SANDY LIGHTFOOT ROBERTSON |
| Credential | PHARMD |
| Practice Address |
270 Copperfield Blvd Ne Suite 202 Concord NC 28025-2441 |
| Practice Telephone | 7047212060 |
| Practice Fax Number | 7047212071 |
| Mailing Telephone | 7047212060 |
| Mailing Fax Number | 7047212071 |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2009-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
13181 | NC | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255339123 | Sandy J Robertson | Family Medicine | 527 Pocket Rd, Hurt, VA 24563-2023 | 2005-07-13 |
| Street Address |
270 COPPERFIELD BLVD NE SUITE 202 |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-2441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447248208 | Jerome Nymberg IIi | Family Medicine | 270 Copperfield Blvd Ne, Ste 102, Concord, NC 28025-2441 | 2005-10-06 |
| 1427500354 | Tara Bush | Physician Assistant | 270 Copperfield Blvd Ne, Ste 102, Concord, NC 28025-2441 | 2016-10-26 |
| 1013462894 | Shannon Elizabeth Rudolph | Pharmacist | 270 Copperfield Blvd Ne, Suite 101, Concord, NC 28025-2441 | 2016-08-22 |
| 1215481510 | Cody Clifton | Pharmacist | 270 Copperfield Blvd Ne, Suite 101, Concord, NC 28025-2441 | 2016-08-04 |
| 1588019798 | Megan Campbell | Family Medicine | 270 Copperfield Blvd Ne, Ste 102, Concord, NC 28025-2441 | 2016-04-26 |
| 1316322340 | Desiree Gaines | Pharmacist | 270 Copperfield Blvd Ne, Concord, NC 28025-2441 | 2015-07-20 |
| 1437536489 | May Royer | Family Medicine | 270 Copperfield Blvd Ne, Ste 102, Concord, NC 28025-2441 | 2015-04-29 |
| 1588051981 | Kristen Shaheen Williams | Physician Assistant | 270 Copperfield Blvd Ne, Suite 102, Concord, NC 28025-2441 | 2015-04-23 |
| 1558756155 | Rachel Koontz | Nurse Practitioner | 270 Copperfield Blvd Ne, Ste 102, Concord, NC 28025-2441 | 2015-03-31 |
| 1750799375 | Caroline Traylor | Pharmacist | 270 Copperfield Blvd Ne, Concord, NC 28025-2441 | 2014-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
| 1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
| 1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
| 1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
| 1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
| 1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
| 1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
| 1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| Find all providers in zip 28025 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972988087 | Ashley Leeanne Harris | Pharmacist | 9900 Poplar Tent Rd Ste 124, Concord, NC 28027-9502 | 2015-07-30 |
| 1437140720 | Roderick D. Teat | Pharmacist | 1352 Braeburn Rd Nw, Concord, NC 28027-8803 | 2005-11-04 |
| 1568718161 | Jaclyn Paige Carson | Pharmacist | 315 Medical Park Dr, Suite 204, Concord, NC 28025-1902 | 2012-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396352266 | Jamilah E Green | Pharmacist | 3013 Oconee Ln, Charlotte, NC 28213-4077 | 2020-09-25 |
| 1457980831 | Ashley Elizabeth Henson Mcknight | Pharmacist | 508 Fulton St Dept 119, Durham, NC 27705-3875 | 2020-04-07 |
| 1467960476 | Randolph Ntoko Esabe | Pharmacist | 258 Station House Rd, New Bern, NC 28562 | 2018-01-12 |
| 1649786773 | Ronnie Chapman | Pharmacist | 120 Barcelona Ct, Cary, NC 27513-4201 | 2017-12-27 |
| 1982082251 | Colleen Moore | Pharmacist | 700 B Hillsboro St, Oxford, NC 27565 | 2015-05-07 |
| 1386031458 | Thomas Hawkins | Pharmacist | 5121 Nc Highway 88 W # 288, Warrensville, NC 28693-9209 | 2015-04-16 |
| 1407245251 | Ronald Welch | Pharmacist | 5101 Celbridge Pl, Raleigh, NC 27613-6207 | 2015-01-16 |
| 1154737518 | Justin Spivey | Pharmacist | 171 Sidney Cherry Grove Rd, Clarendon, NC 28432-9375 | 2014-07-07 |
| 1306257084 | Nancy Crabtree | Pharmacist | 612-4 Jefferson Street, Whiteville, NC 28472-3708 | 2014-05-15 |
| 1861749822 | Adriane J Brackett | Pharmacist | 311 East Wilson Avenue, Campus Box 3087 (school of Pharmacy), Wingate, NC 28174 | 2012-08-09 |
| 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.