DR. CASSIE LYNNAE LINKER BOLAND (NPI# 1902232143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902232143 |
| Entity Type | Individual |
| Full Name | DR. CASSIE LYNNAE LINKER BOLAND |
| Credential | PHARMD |
| Practice Address |
3614 Providence Rd S Ste 200 Waxhaw NC 28173-6309 |
| Mailing Address |
Po Box 159 515 North Main Street Wingate NC 28174-9662 |
| Practice Telephone | 7043848640 |
| Mailing Telephone | 7042338336 |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2013-09-19 |
| 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 |
18960 | NC | Pharmacy Service Providers |
| Street Address |
3614 PROVIDENCE RD S STE 200 |
| City | WAXHAW |
| State | NC |
| Zip Code | 28173-6309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679535652 | Sherry Demaison | Nurse Practitioner | 3614 Providence Rd S, Suite 200, Waxhaw, NC 28173-6309 | 2006-04-05 |
| 1386019891 | Novant Medical Group Inc | Pediatrics | 3614 Providence Rd S, Suite 101, Waxhaw, NC 28173-6309 | 2015-12-09 |
| 1275837411 | Novant Medical Group, Inc | Orthopaedic Surgery | 3614 Providence Rd S, Suite 200, Waxhaw, NC 28173-6310 | 2011-01-03 |
| 1215146535 | Anthony Q. Walker | Specialist | 3614 Providence Rd S, Suite 200, Waxhaw, NC 28173-6309 | 2007-05-22 |
| 1134348485 | Derrick Lewis Blackwell | Family Medicine | 3614 Providence Rd S, Ste 200, Waxhaw, NC 28173-6310 | 2007-04-25 |
| 1497979611 | Robert Malecki | Family Medicine | 3614 Providence Rd S, Suite 200, Waxhaw, NC 28173-6309 | 2007-04-11 |
| 1568400729 | Novant Medical Group, Inc. | Family Medicine | 3614 Providence Rd S, Suite 100, Waxhaw, NC 28173-6309 | 2006-06-02 |
| 1861455479 | William Martin | Family Medicine | 3614 Providence Rd S, Suite 200, Waxhaw, NC 28173-7394 | 2006-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033733175 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 1615 Providence Road South, Marvin, NC 28173 | 2020-06-04 |
| 1225507320 | Shane Markey Dds Ms Pllc | Dentist | 8412 New Town Rd Ste A, Waxhaw, NC 28173 | 2018-11-19 |
| 1336631514 | Suganya Nelatoor,d.d.s.,p.l.l.c. | Clinic/Center | 102 E Waxhaw Professional Park Drive, Waxhaw, NC 28173 | 2018-06-04 |
| 1184120750 | Restore Healthcare Medical Group | Counselor | 500 Waxhaw Professional Park Drive, Ste 105 F, Waxhaw, NC 28173 | 2018-04-03 |
| 1730690827 | Concrete Roses Consulting | Community/Behavioral Health | 5960 Fairview Road, 323, Charlotte, NC 28173 | 2017-10-17 |
| 1861849523 | Kayla Selena Caldwell | Social Worker | 3908 Rev. H. Morrison Rd., Waxhaw, NC 28173 | 2016-05-23 |
| 1588023782 | Teri Hipp | Counselor | 101-e Waxhaw Professional Park Drive, Waxhaw, NC 28173 | 2016-02-16 |
| 1710355508 | Caresmatic Phase 1,inc. | Assisted Living Facility | 520 Pembroke Ln., Waxhaw, NC 28173 | 2015-09-10 |
| 1437564838 | Anna Waddell Schneiderman | Counselor | 104 Waxhaw Professional Park Drive, Waxhaw, NC 28173 | 2014-06-24 |
| 1467892109 | Samantha Weidele Waldman | Counselor | 9929 Rea Rd Ste 201, Waxhaw, NC 28173 | 2013-06-26 |
| Find all providers in zip 28173 | ||||
| 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 |
|---|---|---|---|---|
| 1669929766 | Deborah Currie | Pharmacist | 6202 Marigold Ct, Waxhaw, NC 28173-8289 | 2016-09-06 |
| 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 |
| 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 |
| 1669846531 | Susan Bradford Watson | Pharmacist | 1007 Parkwood Dr, Siler City, NC 27344-2353 | 2015-11-16 |
| Find all providers with the same taxonomy | ||||
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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.