Healthcare Provider Details

I. General information

NPI: 1235341256
Provider Name (Legal Business Name): AMBER NICOLE MCLENDON PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: AMBER MCLENDON PEOPLES PHARMD

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 08/25/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 GLENAIRE CIR
CARY NC
27511-3884
US

IV. Provider business mailing address

1806 LARKSPUR LN
HILLSBOROUGH NC
27278-6743
US

V. Phone/Fax

Practice location:
  • Phone: 919-460-8095
  • Fax:
Mailing address:
  • Phone: 919-599-6688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number43765
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number17699
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: