SAMANTHA BROKENSHIRE (NPI# 1477944916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477944916 |
| Entity Type | Individual |
| Full Name | SAMANTHA BROKENSHIRE |
| Practice Address |
4841 Grove Barton Rd Raleigh NC 27613-1900 |
| Mailing Address |
409 Smith Ave Apt 3 Chapel Hill NC 27516-3021 |
| Practice Telephone | 9197850335 |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2015-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183700000X | Pharmacy Technician | Pharmacy Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
4841 GROVE BARTON RD |
| City | RALEIGH |
| State | NC |
| Zip Code | 27613-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427070085 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4841 Grove Barton Rd, Raleigh, NC 27613-1900 | 2006-07-24 |
| 1679042493 | Nooria Razai | Pharmacist | 4841 Grove Barton Rd, Raleigh, NC 27613-1900 | 2018-11-21 |
| 1467939538 | Christine Celia Hessler | Pharmacist | 4841 Grove Barton Rd, Raleigh, NC 27613-1900 | 2018-07-23 |
| 1487173092 | Sarah Murray Robinson | Pharmacist | 4841 Grove Barton Rd, Raleigh, NC 27613-1900 | 2017-09-14 |
| 1447628136 | Target Pharmacy | Pharmacist | 4841 Grove Barton Rd, Raleigh, NC 27613-1900 | 2015-09-11 |
| 1174913693 | Janelle Belk | Technician, Other | 4841 Grove Barton Rd, Raleigh, NC 27613-1900 | 2015-02-04 |
| 1770860231 | Nicole Zane | Pharmacist | 4841 Grove Barton Rd, T-1080, Raleigh, NC 27613-1900 | 2011-11-12 |
| 1124305685 | Kristin Nicole James | Pharmacist | 4841 Grove Barton Rd, Raleigh, NC 27613-1900 | 2011-11-12 |
| 1356637771 | Stephanie Ann Krueger | Pharmacist | 4841 Grove Barton Rd, T-1080, Raleigh, NC 27613-1900 | 2011-06-23 |
| 1205121332 | Jennifer Crovitz Lopez | Pharmacist | 4841 Grove Barton Rd, Raleigh, NC 27613-1900 | 2011-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588124358 | Arend Klooster Dds II, Pllc | Dentist | 3721 Lynn Rd. #120, Raleigh, NC 27613 | 2019-03-20 |
| 1205319647 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 9640 Leesville Rd, Raleigh, NC 27613 | 2018-09-12 |
| 1386137735 | Maitlyn Avery Betts | Specialist/Technologist | 8421 Two Courts Drive, Raleigh, NC 27613 | 2018-06-11 |
| 1811492382 | Malek & Knight Dds Pa-iil | Dentist | 9201 Leesville Rd Ste 101, Raleigh, NC 27613 | 2018-03-27 |
| 1285151860 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 13300 Stickland Rd, Raleigh, NC 27613 | 2017-08-24 |
| 1376072165 | Caitlin Ann Singleton | Dentist | 13220 Strickland Rd Ste 166, Raleigh, NC 27613 | 2017-06-06 |
| 1508246547 | Jonathan Kent Weisner | Dentist | 13271 Strickland Rd, Raleigh, NC 27613 | 2015-06-04 |
| 1245620806 | Kimberly Szwed | Nurse Practitioner | 6422 Rosny Road, Raleigh, NC 27613 | 2015-02-03 |
| 1174957831 | Laurin Ballowe Collier | Pharmacist | 9640 Leesville Road, Raleigh, NC 27613 | 2013-08-29 |
| 1952655144 | Phillip Colby Smith | Marriage & Family Therapist | 6921 Springcreek Cv Apt 22, Raleigh, NC 27613 | 2012-11-09 |
| Find all providers in zip 27613 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376140632 | Karla Flores Chavez | Student in an Organized Health Care Education/Training Program | 3624 Castlegate Dr, Raleigh, NC 27616-9551 | 2020-10-08 |
| 1144830977 | Kiera Ann Quinn | Student in an Organized Health Care Education/Training Program | 8813 Miranda Dr, Raleigh, NC 27617-7675 | 2020-08-06 |
| 1932725017 | Henry Matthews Kidd Jr. | Student in an Organized Health Care Education/Training Program | 613 Glen Eden Dr, Raleigh, NC 27612-5002 | 2020-06-24 |
| 1639795487 | Cameron Clark | Student in an Organized Health Care Education/Training Program | 701 Loch Highlands Dr, Raleigh, NC 27606-8432 | 2020-06-17 |
| 1942822069 | Matthew Daniel Mcdowell | Student in an Organized Health Care Education/Training Program | 3614 Silver Forrest Ln, Raleigh, NC 27614-7331 | 2020-05-12 |
| 1386265486 | Cayla Lauren Culbreth | Student in an Organized Health Care Education/Training Program | 8904 Sanctus Ln, Raleigh, NC 27613-5394 | 2020-04-29 |
| 1306466297 | Jordan Daniel Taylor | Student in an Organized Health Care Education/Training Program | 5529 Golden Arrow Ln, Raleigh, NC 27613-8409 | 2020-04-21 |
| 1326684879 | Marcus Alan Bynum | Student in an Organized Health Care Education/Training Program | 2005 Rabbit Run, Raleigh, NC 27603-2783 | 2019-11-19 |
| 1306307467 | Fadi Hanna | Student in an Organized Health Care Education/Training Program | 2304 Kendricks Ct, Raleigh, NC 27613-3678 | 2019-03-29 |
| 1992265565 | Laura Barlow Moore | Student in an Organized Health Care Education/Training Program | 430 Allister Dr Unit 206, Raleigh, NC 27609-7279 | 2019-03-20 |
| Find all providers in RALEIGH | ||||
Please comment or provide details below to improve the information on SAMANTHA BROKENSHIRE.
| 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.