STANLEYVILLE FAMILY PHARMACY (NPI# 1407009780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407009780 |
| Entity Type | Organization |
| Organization Name | STANLEYVILLE FAMILY PHARMACY |
| Practice Address |
6143 University Parkway Winston Salem NC 27105 |
| Practice Telephone | 3365296016 |
| Practice Fax Number | 3365296017 |
| Mailing Telephone | 3365296016 |
| Mailing Fax Number | 3365296017 |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2008-10-30 |
| Authorized Official Name | MR. RUSSELL WARREN PATTERSON (PRESIDENT/PHARMACIST) |
| Authorized Official Telephone | 3365296016 |
| Authorized Official Credential | PHARM D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacy Service Providers |
| Street Address |
6143 UNIVERSITY PARKWAY |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346711827 | Allison Colette Steinhaus | Counselor | 8025 Northpoint Blvd, Winston Salem, NC 27105 | 2018-12-10 |
| 1033600382 | Alterman & Dhillon Piedmont, Pplc | Dentist | 336 E Hanes Mill Rd, Winston Salem, NC 27105 | 2018-05-22 |
| 1336676030 | Goldsmith Quality Care LLC. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 132 Jazer Ln, Winston Salem, NC 27105 | 2017-05-12 |
| 1427459981 | Tammy Bartlett | Physical Therapy Assistant | 4850 Sandusky St., Winston Salem, NC 27105 | 2014-09-15 |
| 1194154229 | Marla C Torrence | Counselor | 4140 N. Cherry Street, Winston Salem, NC 27105 | 2013-11-08 |
| 1629313051 | Lydia L. Barber | Counselor | 420 Forest Hills Ave, Winston Salem, NC 27105 | 2012-12-12 |
| 1023362530 | Helen Doby Martin | Home Health Aide | 4782 Butchwood Drive, Winston-salem, NC 27105 | 2012-11-06 |
| 1740545284 | Hines Good Samaritan Home | Technician | 2219 Manchester St., Winston-salem, NC 27105 | 2012-07-11 |
| 1043518129 | Alda Petra Bernardez | Pharmacist | 3539 Patterson Avenue, Winston Salem, NC 27105 | 2011-03-14 |
| 1225336449 | Alia Khaled Al-asfar | Pharmacist | 3539 Patterson Avenue., Winston Salem, NC 27105 | 2011-03-11 |
| Find all providers in zip 27105 | ||||
| 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 |
|---|---|---|---|---|
| 1912506270 | Tyler Stone | Pharmacist | Medical Center Blvd 7th Floor Janeway Tower, Winston Salem, NC 27157-0001 | 2020-10-19 |
| 1306262357 | Kristin Anne Wall | Pharmacist | Wake Forest Baptist Health Dept of Pharmacy, Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2014-03-14 |
| 1669897088 | William Chirstopher Council Jr. | Pharmacist | 1215a W Clemmonsville Rd, Winston Salem, NC 27127-4790 | 2014-02-21 |
| 1578900445 | James William Johnson | Pharmacist | Dept Pharmacy, 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2013-05-31 |
| 1083270920 | Elisabeth Louise Caulder | Pharmacist | 300 Medical Center Blvd, Winston Salem, NC 27157-0003 | 2019-05-16 |
| 1538653308 | Andrew Gordon Wright | Pharmacist | 255 Charlois Blvd, Winston Salem, NC 27103-1507 | 2018-06-15 |
| 1871003129 | Jinyao Eileen Chen | Pharmacist | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2017-10-01 |
| 1528577996 | Teresa Ann Cicci | Pharmacist | Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2017-09-28 |
| 1346767522 | Caitlin M Moorman Spangler | Pharmacist | 3333 Silas Creek Pkwy, Winston Salem, NC 27103 | 2017-08-28 |
| 1700309614 | Christina Roels | Pharmacist | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2017-07-23 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27105 |
Please comment or provide details below to improve the information on STANLEYVILLE FAMILY PHARMACY.
| 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.