Healthcare Provider Details

I. General information

NPI: 1023949492
Provider Name (Legal Business Name): STEPHANIE ELIZABETH SHABANOWITZ PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STEPHANIE ELIZABETH MARTIN PHARMD

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 MANNING DR
CHAPEL HILL NC
27514-4220
US

IV. Provider business mailing address

101 MANNING DR
CHAPEL HILL NC
27514-4220
US

V. Phone/Fax

Practice location:
  • Phone: 919-909-3012
  • Fax: 919-909-3012
Mailing address:
  • Phone: 919-909-3012
  • Fax: 919-909-3012

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835S0206X
TaxonomySolid Organ Transplant Pharmacist
License Number33093
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: