DR. CARL ANTOLICK III (NPI# 1083922819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083922819 |
| Entity Type | Individual |
| Full Name | DR. CARL ANTOLICK III |
| Credential | PHARMD |
| Practice Address |
5111 Wake Forest Rd Durham NC 27703-3704 |
| Practice Telephone | 9199574512 |
| Practice Fax Number | 9199574538 |
| Mailing Telephone | 9199574512 |
| Mailing Fax Number | 9199574538 |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2010-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 19794 | NC | Pharmacy Service Providers |
| Street Address |
5111 WAKE FOREST RD |
| City | DURHAM |
| State | NC |
| Zip Code | 27703-3704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518356500 | Mark Rusin | Pharmacist | 5111 Wake Forest Rd, Durham, NC 27703-3704 | 2015-01-14 |
| 1952658973 | Myra Jao | Pharmacist | 5111 Wake Forest Rd, Durham, NC 27703-3704 | 2012-08-08 |
| 1851679435 | Melissa Covert | Pharmacist | 5111 Wake Forest Rd, Durham, NC 27703-3704 | 2011-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285235218 | Joseph Omalemigbo Abgateyiniro | Durable Medical Equipment & Medical Supplies | 1810 Shiva Court, Durham, NC 27703 | 2020-11-05 |
| 1326654278 | Step By Step In Home Care LLC | Home Health | Imperial Business Park, 4819 Emperor Blvd Suite 400, Durham, NC 27703 | 2020-09-16 |
| 1023598463 | Impact Therapy Services | Speech-Language Pathologist | 6 Winnabow Court, Durham, NC 27703 | 2018-08-15 |
| 1326536327 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 1100 N Miami Blvd Ste 500a, Durham, NC 27703 | 2018-04-25 |
| 1033621719 | Duke University | Preventive Medicine | 4825 Creekstone Drive, Suite 105, Durham, NC 27703 | 2017-11-02 |
| 1023535564 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3725 Wake Forest Hwy, Durham, NC 27703 | 2017-08-25 |
| 1487194171 | Shivani L. Chudasama | Social Worker | 5475 Lumley Rd Ste 103, Durham, NC 27703 | 2017-03-01 |
| 1356886030 | Rgh Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 4234 Surles Court, Suite 100, Durham, NC 27703 | 2017-01-04 |
| 1780032821 | Victory Speech Therapy Services, Pllc | Speech-Language Pathologist | 1533 Ellis Rd., Apt J208, Durham, NC 27703 | 2016-05-31 |
| 1124422373 | Helene Azimbi Fonebi | Pharmacist | 8 Gandhi Dr, Durham, NC 27703 | 2014-10-17 |
| Find all providers in zip 27703 | ||||
| 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 |
|---|---|---|---|---|
| 1518566066 | Amitkumar Prahaladbhai Patel | Pharmacist | 5450 New Hope Commons Dr # 2137, Durham, NC 27707-9716 | 2020-10-25 |
| 1073127445 | Yanying Yang | Pharmacist | 506 Turmeric Ln, Durham, NC 27713-3137 | 2020-09-03 |
| 1255986550 | Sharmeen Ali | Pharmacist | 1109 Hwy 54, Durham, NC 27703-2770 | 2019-08-05 |
| 1972023174 | Mary Elizabeth Durham | Pharmacist | 14221 Duke Clinic, Durham, NC 27710-0001 | 2017-06-20 |
| 1003348301 | Nirali Patel | Pharmacist | 1313 Catch Fly Ln, Durham, NC 27713-2553 | 2017-03-28 |
| 1518410927 | Charles William Hachmeister IIi | Pharmacist | 300 Blackwell St Apt 304, Durham, NC 27701-3991 | 2016-08-02 |
| 1720531544 | Brittany Ann Lawson | Pharmacist | 2816 Erwin Rd, Suite 105, Durham, NC 27705-4577 | 2016-07-28 |
| 1528411568 | Paul Wilkins Mccaskill | Pharmacist | 100 Glengary Ct Apt 201, Durham, NC 27707-5942 | 2016-07-14 |
| 1891144416 | Jordan R Wood | Pharmacist | 1700 E Nc Highway 54, Durham, NC 27713-2107 | 2016-06-04 |
| 1508234980 | Sara Britnell | Pharmacist | 2 Marsh Landing Ct, Durham, NC 27703-6717 | 2015-09-02 |
| Find all providers in DURHAM | ||||
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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.