WAYNE WOODBURY (NPI# 1720477169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720477169 |
| Entity Type | Individual |
| Full Name | WAYNE WOODBURY |
| Credential | R.PH. |
| Practice Address |
10030 Gilead Rd Ste 290 Huntersville NC 28078-7545 |
| Mailing Address |
1243 Badger Ct Charlotte NC 28206-1400 |
| Practice Telephone | 7046597848 |
| Practice Fax Number | 8778818455 |
| Mailing Telephone | 9802368661 |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2019-12-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 16693 | NC | Pharmacy Service Providers |
| Y | 1835X0200X |
Pharmacist Specialization: Oncology |
16693 | NC | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5100 Beatties Ford Rd, Charlotte, NC 282162357 | 7043919341 | 7043999409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770572893 | Wayne M Woodbury | Physical Medicine & Rehabilitation | 316 Marketplace Dr Ste 20, Johnson City, TN 37604-2596 | 2005-10-20 |
| Street Address |
10030 GILEAD RD STE 290 |
| City | HUNTERSVILLE |
| State | NC |
| Zip Code | 28078-7545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477582807 | Xavier Alfred Harrison | Physician Assistant | 10030 Gilead Rd Ste 290, Huntersville, NC 28078-7545 | 2006-06-30 |
| 1417589318 | Caroline Jane Heys | Physician Assistant | 10030 Gilead Rd Ste 290, Huntersville, NC 28078-7545 | 2020-02-08 |
| 1215569314 | Bess Asimos Whitmore | Physician Assistant | 10030 Gilead Rd Ste 290, Huntersville, NC 28078-7545 | 2020-02-06 |
| 1558879965 | Southern Oncology Specialists, Pllc | Durable Medical Equipment & Medical Supplies | 10030 Gilead Rd Ste 290, Huntersville, NC 28078 | 2018-01-19 |
| 1063968337 | Christofer Kepinski | Pharmacist | 10030 Gilead Rd Ste 290, Huntersville, NC 28078-7545 | 2016-08-28 |
| 1669876447 | Poras Kamlesh Patel | Internal Medicine | 10030 Gilead Rd Ste 290, Huntersville, NC 28078-7545 | 2014-10-22 |
| 1700897121 | Jack Burton | Internal Medicine | 10030 Gilead Rd Ste 290, Huntersville, NC 28078-7545 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538787718 | John M. Bakarich, Dds, Pllc | Dentist | 15810 Northcross Drive, Suite A, Huntersville, NC 28078 | 2020-07-14 |
| 1316587082 | Blake Allen Klessig | Chiropractor | 8936 Northpointe Executive Park Dr, Suite 195, Huntersville, NC 28078 | 2020-01-10 |
| 1922644830 | Steven James Underwood | Physical Therapist | Aldersgate Ccrc, 3800 Shamrock Drive, Charlotte, NC 28078 | 2019-11-26 |
| 1851856306 | Jessica Runnion | Behavior Technician | 14625 Reese Blvd, Apartment 208, Huntersville, NC 28078 | 2019-02-08 |
| 1568935401 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 111 Commerce Centre Drive, Suite 305, Huntersville, NC 28078 | 2019-01-03 |
| 1932691763 | Shakira Grier | Massage Therapist | 15905 Brookway Drive, Ste 4202, Huntersville, NC 28078 | 2018-06-06 |
| 1457850596 | Chudney Drew | Counselor | 10224 Hickorywood Hill Ave Ste 201, Huntersville, NC 28078 | 2018-02-05 |
| 1215457122 | Amy Nicole Castongia | Counselor | 10511 Drake Hill Dr, Huntersville, NC 28078 | 2017-06-21 |
| 1457714057 | Robin D Disbro | Registered Nurse | 6216 Colonial Garden Drive, Huntersville, NC 28078 | 2016-03-31 |
| 1144695545 | Huntersville H&r Ops Limited Partnership | Skilled Nursing Facility | 13835 Boren Street, Huntersville, NC 28078 | 2015-12-10 |
| Find all providers in zip 28078 | ||||
| Taxonomy Code | 1835X0200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Oncology |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in developing, recommending, implementing, monitoring, and modifying pharmacotherapeutic plans to optimize outcomes in patients with malignant diseases. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043777170 | Sheh-li Chen | Pharmacist | 6013 Farrington Rd Ste 201, Chapel Hill, NC 27517-8173 | 2019-02-25 |
| 1568973253 | Jolly Patel | Pharmacist | 10650 Park Rd Ste 420, Charlotte, NC 28210-8539 | 2017-10-20 |
| 1598202566 | Raymond B. Elliott | Pharmacist | 547 Tanbridge Rd, Wilmington, NC 28405-3923 | 2017-01-27 |
| 1831575109 | Ryan Beechinor | Pharmacist | 101 Manning Drive Cb#7600, Chapel Hill, NC 27510 | 2015-08-10 |
| 1578956124 | Russell Moore | Pharmacist | 20 Duke Medicine Cir # 5-1, Durham, NC 27710-2000 | 2015-03-06 |
| 1922301282 | Michael E Brewer | Pharmacist | 2106 Polo Rd, Winston Salem, NC 27106-4937 | 2010-12-08 |
| 1770772915 | Meredith Toma Moorman | Pharmacist | 1 Trent Drive, Box 3089, Durham, NC 27710 | 2007-10-23 |
| 1730748955 | Jai Narendra Patel | Pharmacist | 1021 Morehead Medical Dr, Charlotte, NC 28204-2990 | 2019-06-11 |
| 1972082741 | Anna Seagle | Pharmacist | 212 Mulberry St Sw, Lenoir, NC 28645-5414 | 2018-08-12 |
| 1003300609 | Daria Wuycik Wooten | Pharmacist | 1010 Bethesda Ct, Winston Salem, NC 27103-3019 | 2018-06-18 |
| Find all providers with the same taxonomy | ||||
| City | HUNTERSVILLE |
| Zip Code | 28078 |
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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.