DR. MANDY WHITE KLINGENBERG (NPI# 1851553440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851553440 |
Entity Type | Individual |
Full Name | DR. MANDY WHITE KLINGENBERG |
Credential | PHARMD |
Practice Address |
910 Berkshire Rd Smithfield NC 27577-4751 |
Practice Telephone | 9199897909 |
Mailing Telephone | 9199897909 |
Enumeration Date | 2008-06-26 |
Last Update Date | 2013-03-12 |
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 |
16832 | NC | Pharmacy Service Providers |
Street Address |
910 BERKSHIRE RD |
City | SMITHFIELD |
State | NC |
Zip Code | 27577-4751 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780682484 | Eric Michael Janis | Internal Medicine | 910 Berkshire Rd, Smithfield, NC 27577-4751 | 2005-07-07 |
1922364025 | Laura D Quick | Nurse Practitioner | 910 Berkshire Rd, Smithfield, NC 27577-4751 | 2012-04-03 |
1134424062 | Rex Physicians LLC | Specialist | 910 Berkshire Rd, Smithfield, NC 27577-4751 | 2011-01-25 |
1760513642 | Nyla Elizabeth Thompson | Physician Assistant | 910 Berkshire Rd, Smithfield, NC 27577-4751 | 2007-03-09 |
1053389668 | Mateen Akhtar | Internal Medicine | 910 Berkshire Rd, Smithfield, NC 27577-4751 | 2006-03-09 |
1336121110 | Diane Elizabeth Morris | Nurse Practitioner | 910 Berkshire Rd, Smithfield, NC 27577-4751 | 2005-11-16 |
1437157518 | Wake Heart and Vascular Associates P.a. | Specialist | 910 Berkshire Rd, Smithfield, NC 27577-4751 | 2005-07-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851919047 | Sherwin Cuaresma Bernardino | Physical Therapist | Meadowview Assisted Living Center, 250 Nc-210, Smithfield, NC 27577 | 2020-07-14 |
1386297299 | Johnston Opco, LLC | Non-emergency Medical Transport (VAN) | 200 Kellie Dr, Smithfield, NC 27577 | 2019-07-19 |
1790255362 | Adrian Brook Taylor | Physical Therapist | 540 North Street, Smithfield, NC 27577 | 2018-11-27 |
1497260608 | Providence Healthcare of The Carolinas | Assisted Living Facility | 4302 Hwy Nc 210, Smithfield, NC 27577 | 2017-12-11 |
1720593908 | Latorya Delois Moore | Nurse Practitioner | 514 N Brightleaf Blvd Ste 1100, Smithfield, NC 27577 | 2017-12-09 |
1124546171 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 104 N Brightleaf Blvd, Smithfield, NC 27577 | 2017-08-30 |
1316482201 | Providence Pain, Spine & Recovery, Pllc | Anesthesiology | 7 Berkshire Rd, Smithfield, NC 27577 | 2016-12-30 |
1407203318 | Linda Pearl Trujillo | Early Intervention Provider Agency | 623 Tralee Dr, Smithfield, NC 27577 | 2016-05-20 |
1336500206 | Saundra Casey | Counselor | 15 Noble Street, Smithfield, NC 27577 | 2016-03-18 |
1639537707 | Ralph Edwin Wilson Jr. | Physician Assistant | 100 Kellie Drive, Smithfield, NC 27577 | 2016-02-04 |
Find all providers in zip 27577 |
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 |
---|---|---|---|---|
1164052437 | Gianina Chappell | Pharmacist | 1282 Smithfield Plz, Smithfield, VA 23430-6054 | 2020-01-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912506270 | Tyler Stone | Pharmacist | Medical Center Blvd 7th Floor Janeway Tower, Winston Salem, NC 27157-0001 | 2020-10-19 |
1366913030 | Chi Hornik | Pharmacist | Duke Children's Hospital Erwin Road, Durham, NC 27710-0001 | 2018-12-06 |
1255808234 | Cathy Wilson Fuquay | Pharmacist | 8519 Haw River Rd, Oak Ridge, NC 27310-9832 | 2018-10-29 |
1780162990 | Carol Lowe Holmes | Pharmacist | 2479 South Church Street, Address Line 2, Burlington, NC 27215-2721 | 2018-07-31 |
1528553575 | David Amtower | Pharmacist | 1100 Tunnel Rd Dept 119, Asheville, NC 28787-2576 | 2018-06-22 |
1235645961 | Donna Lynn Topping | Pharmacist | 20 Duke Medicine Cir # 2-2, Durham, NC 27710-2000 | 2017-12-18 |
1386156099 | Jungeun Ahn | Pharmacist | 507 Palafox Dr, Chapel Hill, NC 27516-1175 | 2017-11-03 |
1669929766 | Deborah Currie | Pharmacist | 6202 Marigold Ct, Waxhaw, NC 28173-8289 | 2016-09-06 |
1467905026 | Amarachi Enyinnaya | Pharmacist | 301 Crescendo Dr, Morrisville, NC 27560-5724 | 2016-08-01 |
1831557172 | Joe Brewton | Pharmacist | 4841 Linksland Dr, Holly Springs, NC 27540-8352 | 2016-02-01 |
Find all providers with the same taxonomy |
City | SMITHFIELD |
Zip Code | 27577 |
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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.