Healthcare Provider Details

I. General information

NPI: 1003734286
Provider Name (Legal Business Name): HEALTHSMART OF CLAYTON LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9197 CLEVELAND RD
CLAYTON NC
27520-3676
US

IV. Provider business mailing address

9197 CLEVELAND RD
CLAYTON NC
27520-3676
US

V. Phone/Fax

Practice location:
  • Phone: 919-772-6902
  • Fax: 919-772-6902
Mailing address:
  • Phone: 919-772-6902
  • Fax: 919-772-6902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number
License Number State

VIII. Authorized Official

Name: LANCE WHEELER
Title or Position: MANAGER MEMBER
Credential: PHARMD
Phone: 919-772-6902