MARYRUSSELL WAGSTAFF LAURENT (NPI# 1477024776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477024776 |
| Entity Type | Individual |
| Full Name | MARYRUSSELL WAGSTAFF LAURENT |
| Credential | PHARMD, MSCR, BCPS |
| Practice Address |
303 Green St E Wilson NC 27893-4105 |
| Practice Telephone | 2522439800 |
| Enumeration Date | 2018-12-12 |
| Last Update Date | 2018-12-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
26894 | NC | Pharmacy Service Providers |
| Street Address |
303 GREEN ST E |
| City | WILSON |
| State | NC |
| Zip Code | 27893-4105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073503413 | Amparito I Fiallo | Family Medicine | 303 Green St E, Wilson Community Health Center, Wilson, NC 27893-4105 | 2005-10-26 |
| 1205441938 | Robyn Natalie Calvio | Nurse Practitioner | 303 Green St E, Wilson, NC 27893-4105 | 2020-09-10 |
| 1417588245 | Jacob Laney Hines | Nurse Practitioner | 303 Green St E, Wilson, NC 27893-4105 | 2020-01-30 |
| 1033627450 | Nicole Majette Enyinnaya | Family Medicine | 303 Green St E, Wilson, NC 27893-4105 | 2018-01-19 |
| 1134669336 | Shawn Phillips | Nurse Practitioner | 303 Green St E, Wilson, NC 27893-4105 | 2017-03-07 |
| 1063884419 | Dayna Farrington | Social Worker | 303 Green St E, Wilson, NC 27893-4105 | 2015-10-26 |
| 1194191791 | Stephanie Hope Stephens | Social Worker | 303 Green St E, Wilson, NC 27893-4105 | 2015-08-18 |
| 1699172825 | Megan Turcheck | Family Medicine | 303 Green St E, Wilson, NC 27893-4105 | 2014-12-03 |
| 1073912127 | Melissa Williamson Marshall | Counselor | 303 Green St E, Wilson, NC 27893-4105 | 2014-08-14 |
| 1649601873 | David A Peterson | Social Worker | 303 Green St E, Wilson, NC 27893-4105 | 2013-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847524 | Graceland Student Services LLC | Early Intervention Provider Agency | 610 Fairview Ave., Wilson, NC 27893 | 2020-09-30 |
| 1508477894 | Evan Michael Abatiell | Specialist/Technologist | 400 Atlantic Christian E West Ne, Wilson, NC 27893 | 2020-08-11 |
| 1679100606 | Newgreen Inhomecare Group Inc | Registered Nurse | 121 Nast Street N, Wilson, NC 27893 | 2020-03-27 |
| 1942772983 | Open Water Medical, Pa | Clinic/Center | 4008 Nc-42, Wilson, NC 27893 | 2018-12-31 |
| 1679043244 | Madison Rose Propst | Social Worker | 2416 Bedgood, Wilson, NC 27893 | 2018-11-27 |
| 1104396753 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 2500 Horton Blvd, Wilson, NC 27893 | 2018-11-27 |
| 1528545498 | North Carolina In-home Partner-viii, LLC | Home Health | 1901 Tarboro St Sw Ste 304, Wilson, NC 27893 | 2018-07-24 |
| 1518478957 | Home Away From Home, Inc. | In Home Supportive Care | 1723 Meadowbrook Lane W., Wilson, NC 27893 | 2017-10-12 |
| 1942721295 | Sandra Susan Blazek | Social Worker | 608 Nash Street Nw, Wilson, NC 27893 | 2017-06-27 |
| 1700306297 | Kimberly Denton Almkuist | Nurse Practitioner | Wilson County Health Department, 1801 Glendale Dr. Sw, Wilson, NC 27893 | 2017-06-26 |
| Find all providers in zip 27893 | ||||
| Taxonomy Code | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942815170 | Diana Leigh Raymond Hill | Pharmacist | 2605 Forest Hills Rd Sw, Wilson, NC 27893-4448 | 2020-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033679790 | Asajah Duncan | Pharmacist | 3769 Stafford Place Blvd Apt 302, Winston Salem, NC 27127-6930 | 2019-03-20 |
| 1164990990 | Christan Turner Holt | Pharmacist | 1225 Huffman Mill Rd Ste 102, Burlington, NC 27215-8789 | 2018-11-09 |
| 1215420955 | Maeghan Nichole Moss | Pharmacist | 100 Medical Park Dr Ste 110, Concord, NC 28025-2966 | 2018-06-07 |
| 1275086522 | Autumn Carroll | Pharmacist | 1 Hospital Dr Ste 3217, Asheville, NC 28801-4550 | 2016-08-03 |
| 1720439938 | Christine Williams | Pharmacist | 110 Heather Ridge Ct, Durham, NC 27712-1067 | 2016-06-29 |
| 1699124479 | Chelsea Elaine Phillips Renfro | Pharmacist | 2011 Summerhouse Rd, Cary, NC 27519-7453 | 2016-06-12 |
| 1316394471 | Daniel Wolverton | Pharmacist | 1025 Think Pl Ste 460, Morrisville, NC 27560 | 2016-05-18 |
| 1801131107 | Ann Marie Fugit | Pharmacist | 2470 Stantonsburg Rd, Greenville, NC 27834-7210 | 2012-11-28 |
| 1942552716 | Lydia Wang | Pharmacist | 4400 Golf Acres Dr Ste C, Charlotte, NC 28208-5976 | 2012-10-03 |
| 1588645030 | Deborah Sturpe | Pharmacist | 590 Manning Dr, Chapel Hill, NC 27599-6119 | 2005-11-10 |
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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.