Healthcare Provider Details

I. General information

NPI: 1669259073
Provider Name (Legal Business Name): KAYLA MARIE PIONTEK PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2023
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 CHURCH ST N
CONCORD NC
28025-2927
US

IV. Provider business mailing address

3114 BIRCHAM DR
CHARLOTTE NC
28217-5072
US

V. Phone/Fax

Practice location:
  • Phone: 704-403-3000
  • Fax:
Mailing address:
  • Phone: 864-993-4855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number33418
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number44085
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: