KALLIE MARIE SUPERNOR (NPI# 1841806429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841806429 |
| Entity Type | Individual |
| Full Name | KALLIE MARIE SUPERNOR |
| Credential | PHARM.D |
| Practice Address |
1724 Fordham Blvd Chapel Hill NC 27514-5808 |
| Mailing Address |
426 Aaron Cir Durham NC 27713-3201 |
| Practice Telephone | 9199425125 |
| Mailing Telephone | 9783143193 |
| Enumeration Date | 2020-09-19 |
| Last Update Date | 2020-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
29897 | NC | Pharmacy Service Providers |
| Street Address |
1724 FORDHAM BLVD |
| City | CHAPEL HILL |
| State | NC |
| Zip Code | 27514-5808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508152091 | Ana Maria Soares Menezes | Pharmacist | 1724 Fordham Blvd, Ram's Plaza, Chapel Hill, NC 27514-5808 | 2011-06-22 |
| 1275812315 | Jamie Nathan Brown | Pharmacist | 1724 Fordham Blvd, Chapel Hill, NC 27514-5808 | 2011-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790900 | Ellen Cowherd | Student in an Organized Health Care Education/Training Program | Unc Children's Primary Care, 1512 East Franklin Street, Suite 100, Chapel Hill, NC 27514 | 2020-04-28 |
| 1033739586 | Elizabeth Marie O'neil | Student in an Organized Health Care Education/Training Program | Unc Children's Primary Care Clinic, 1512 E. Franklin Street, Suite 100, Chapel Hill, NC 27514 | 2020-04-24 |
| 1235759986 | Stephanie Crawford Gehle | Student in an Organized Health Care Education/Training Program | 1512 E. Franklin Street, Suite 100, Chapel Hill, NC 27514 | 2020-04-23 |
| 1710507462 | Mustafa Al-hassan Abid | Student in an Organized Health Care Education/Training Program | Unc Hospitals -- Office of Graduate Medical Education, 101 Manning Drive, Cb#7600, Chapel Hill, Nc, 27514, Chapel Hill, NC 27514 | 2020-04-23 |
| 1114547775 | Xavier Joseph Williams | Student in an Organized Health Care Education/Training Program | Unc Children's Primary Care Clinic 1512 E. Franklin St., Suite 100, Chapel Hill, NC 27514 | 2020-04-23 |
| 1043871312 | Katelyn R Sclafani | Social Worker | 250 S Estes Dr Apt 70, Chapel Hill, NC 27514 | 2019-06-26 |
| 1730746504 | Jacob Hall | Student in an Organized Health Care Education/Training Program | Suite 295, Radonc Admin, Nc Cancer Hospital, 101 Manning Drive, Chapel Hill, NC 27514 | 2019-05-28 |
| 1548721046 | Aman Kumar | Surgery | Unc Hospitals Department of Surgery, 101 Manning Drive, Chapel Hill, NC 27514 | 2019-03-27 |
| 1922568773 | Christina Mcswain Burke | Social Worker | Unc Center for Women's Mood Disorders, 77 Vilcom Center Dr.; Dawson Hall; Suite 300, Chapel, NC 27514 | 2019-03-20 |
| 1881160158 | Ryan Hall | Pharmacist | 2110 Estes Drive, Chapel Hill, NC 27514 | 2018-10-15 |
| Find all providers in zip 27514 | ||||
| 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 |
|---|---|---|---|---|
| 1386156099 | Jungeun Ahn | Pharmacist | 507 Palafox Dr, Chapel Hill, NC 27516-1175 | 2017-11-03 |
| 1831472158 | Jamie Jurkiewicz Cavanaugh | Pharmacist | 102 Mason Farm Road, General Internal Medicine Clinic, Chapel Hill, NC 27599-7745 | 2011-09-22 |
| 1407184989 | Lauren B Mcknight | Pharmacist | 410 Market St Ste 362, Chapel Hill, NC 27516-4061 | 2009-11-23 |
| 1720212855 | Suzanne Cala Harris | Pharmacist | Unc Eshelman School of Pharmacy, Cb 7574, Chapel Hill, NC 27599-7574 | 2009-05-04 |
| 1003442211 | Kalynn Anne Northam | Pharmacist | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2020-03-19 |
| 1932676616 | Stephanie Iyer | Pharmacist | 194 Finley Golf Course Rd Ste 200, Chapel Hill, NC 27517-4403 | 2018-10-31 |
| 1194240200 | Christina Teeter Doligalski | Pharmacist | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2017-08-09 |
| 1023546835 | William Wilson | Pharmacist | 101 Manning Dr Bldg 1, Chapel Hill, NC 27514-4423 | 2017-05-24 |
| 1356887715 | Tatjana Grgic | Pharmacist | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2017-01-10 |
| 1871943639 | Claire Marie Reuter | Pharmacist | 101 Manning Dr # 7600, Chapel Hill, NC 27514-4220 | 2016-06-13 |
| Find all providers in CHAPEL HILL | ||||
| City | CHAPEL HILL |
| Zip Code | 27514 |
Please comment or provide details below to improve the information on KALLIE MARIE SUPERNOR.
| 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.