VALERIE S SOUTHERLAND (NPI# 1962786988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962786988 |
| Entity Type | Individual |
| Full Name | VALERIE S SOUTHERLAND |
| Credential | PHARMD |
| Practice Address |
250 Charlois Blvd Winston Salem NC 27103-1508 |
| Mailing Address |
Po Box 751803 Charlotte NC 28275-1803 |
| Practice Telephone | 3367181000 |
| Practice Fax Number | 3367181065 |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2020-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 17301 | NC | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
0070-00397 | NC | Pharmacy Service Providers |
| Street Address |
250 CHARLOIS BLVD |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-1508 |
| 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 |
| Find all providers in the same location | ||||
| 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 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 |
|---|---|---|---|---|
| 1912506270 | Tyler Stone | Pharmacist | Medical Center Blvd 7th Floor Janeway Tower, Winston Salem, NC 27157-0001 | 2020-10-19 |
| 1306262357 | Kristin Anne Wall | Pharmacist | Wake Forest Baptist Health Dept of Pharmacy, Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2014-03-14 |
| 1669897088 | William Chirstopher Council Jr. | Pharmacist | 1215a W Clemmonsville Rd, Winston Salem, NC 27127-4790 | 2014-02-21 |
| 1578900445 | James William Johnson | Pharmacist | Dept Pharmacy, 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2013-05-31 |
| 1407009780 | Stanleyville Family Pharmacy | Pharmacist | 6143 University Parkway, Winston Salem, NC 27105 | 2008-10-30 |
| 1083270920 | Elisabeth Louise Caulder | Pharmacist | 300 Medical Center Blvd, Winston Salem, NC 27157-0003 | 2019-05-16 |
| 1538653308 | Andrew Gordon Wright | Pharmacist | 255 Charlois Blvd, Winston Salem, NC 27103-1507 | 2018-06-15 |
| 1871003129 | Jinyao Eileen Chen | Pharmacist | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2017-10-01 |
| 1528577996 | Teresa Ann Cicci | Pharmacist | Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2017-09-28 |
| 1346767522 | Caitlin M Moorman Spangler | Pharmacist | 3333 Silas Creek Pkwy, Winston Salem, NC 27103 | 2017-08-28 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
Please comment or provide details below to improve the information on VALERIE S SOUTHERLAND.
| 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.