Healthcare Provider Details

I. General information

NPI: 1033088869
Provider Name (Legal Business Name): XUEPU CAO PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: DEREK CAO

II. Dates (important events)

Enumeration Date: 10/31/2025
Last Update Date: 10/31/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3905 N ROXBORO ST
DURHAM NC
27704-2117
US

IV. Provider business mailing address

30175 RUFFINS
CHAPEL HILL NC
27517-8081
US

V. Phone/Fax

Practice location:
  • Phone: 919-471-1534
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number34294
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: