MISS MILDRED ANN UNDERWOOD


Address: 250 Charlois Blvd, Winston Salem, NC 27103-1508
Phone: 3367181417

MISS MILDRED ANN UNDERWOOD (NPI# 1770868317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770868317
Entity Type Individual
Full Name MISS MILDRED ANN UNDERWOOD
Other Name DR. MILDRED ANN UNDERWOOD
Practice Address 250 Charlois Blvd
Winston Salem
NC 27103-1508
Mailing Address 6013 High View Rd
Greensboro
NC 27410-8331
Practice Telephone 3367181417
Practice Fax Number 3367684972
Mailing Telephone 3366683849
Mailing Fax Number 3367684972
Enumeration Date 2011-10-14
Last Update Date 2011-10-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 9241 NC Pharmacy Service Providers

Office Location

Street Address 250 CHARLOIS BLVD
City WINSTON SALEM
State NC
Zip Code 27103-1508

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972503449 Ryan Angus Mcdonald Physician Assistant 250 Charlois Blvd, Winston Salem, NC 27103-1508 2005-07-27
1790266310 Ashleigh Wynne Lucas Nurse Practitioner 250 Charlois Blvd, Winston Salem, NC 27103-1508 2018-08-22
1841651841 Alexandra Gilmore Sheppard Physician Assistant 250 Charlois Blvd, Winston Salem, NC 27103-1508 2016-03-18
1922409234 Tacorya Denise Morrison Pharmacist 250 Charlois Blvd, Winston Salem, NC 27103-1508 2014-09-06
1831508860 Sarah D Pearce Pharmacist 250 Charlois Blvd, Winston Salem, NC 27103-1508 2014-08-04
1497183206 Forsyth Memorial Hospital Inc Internal Medicine 250 Charlois Blvd, Winston Salem, NC 27103-1508 2013-10-15
1265868764 Forsyth Memorial Hospital, Inc Internal Medicine 250 Charlois Blvd, Winston Salem, NC 27103-1508 2013-09-17
1083055396 Phillip A Kelley Physician Assistant 250 Charlois Blvd, Winston Salem, NC 27103-1508 2013-07-15
1427493980 Marian Virginia Hazy Nurse Practitioner 250 Charlois Blvd, Winston Salem, NC 27103-1508 2013-05-09
1609120690 Tangula Latrice Simmons Nurse Practitioner 250 Charlois Blvd, Winston Salem, NC 27103-1508 2012-10-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124648126 Kelly Anne Wales Pharmacist 3917-a Westpoint Boulevard, Winston-salem, NC 27103 2020-04-20
1386281533 Elena Mcginty Nurse Practitioner 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 2019-12-06
1992359442 Madeline Pryor Pharmacist 255 Charlois Drive, Winston Salem, NC 27103 2019-08-01
1215599584 Palmetto Oxygen LLC Durable Medical Equipment & Medical Supplies 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 2019-07-07
1548734718 Trivy Johnson Specialist 1384-b Westgate Center Dr., Winston Salem, NC 27103 2019-01-21
1447745047 Novant Health Rehabilitation Hospital of Winston-salem, LLC Rehabilitation Hospital 2475 Hillcrest Center Circle, Winston Salem, NC 27103 2018-06-26
1346740206 Joseph Miller Physical Therapist 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 2018-02-17
1548779101 Kristin Blow Counselor 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 2017-09-27
1891213443 Alisha Dawn Wilson Occupational Therapy Assistant 2101 Homestead Hills Drive, Winston Salem, NC 27103 2017-09-05
1588186969 Brandy Wilson Social Worker 153 Cameron Way Circle, Winston Salem, NC 27103 2017-07-07
Find all providers in zip 27103

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437797297 Jay Amin Pharmacist 925 Brannigan Village Dr, Winston Salem, NC 27127-4894 2019-12-11
1447895768 Alyssa Paige Stewart Pharmacist 500 Shepherd St Ste 300, Winston Salem, NC 27103-1633 2019-11-11
1851933048 Orin L Autry Pharmacist 110 Milnor Pl, Winston Salem, NC 27104-1836 2019-10-09
1992359442 Madeline Pryor Pharmacist 255 Charlois Drive, Winston Salem, NC 27103 2019-08-01
1265091607 Nancy Fitzgerald Myers Pharmacist Medical Center Blvd North Tower, Winston Salem, NC 27157-0001 2019-06-10
1447769708 Jessica Marie Smith Pharmacist 1 Medical Center Blvd Department of Pharmacy, Winston Salem, NC 27157-0001 2017-09-29
1255867289 Benjamin Hansen Pharmacist 2150 Country Club Rd Ste 300, Winston Salem, NC 27104 2017-05-11
1831636604 Brooke Miller Masten Pharmacist 3917 Westpoint Blvd Ste A, Winston Salem, NC 27103-6723 2017-01-31
1821453069 David Michael Vaughan Pharmacist 4340 Old Lexington Rd, Winston Salem, NC 27107-9408 2015-12-15
1053728261 Ashraf Alsaedi Pharmacist 1659 Stratford Rd Nw, Winston Salem, NC 27104 2014-07-20
Find all providers in WINSTON SALEM

Competitor

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City WINSTON SALEM
Zip Code 27103

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Dataset Information

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.

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