Healthcare Provider Details

I. General information

NPI: 1932579406
Provider Name (Legal Business Name): JILL BATES PHARM.D., M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JILL SCHURMANN

II. Dates (important events)

Enumeration Date: 09/28/2015
Last Update Date: 10/07/2022
Certification Date: 10/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1004 RUSHDEN WAY
APEX NC
27502-5031
US

IV. Provider business mailing address

1004 RUSHDEN WAY
APEX NC
27502-5031
US

V. Phone/Fax

Practice location:
  • Phone: 919-306-7697
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number18279
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number18279
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: