Healthcare Provider Details

I. General information

NPI: 1093635161
Provider Name (Legal Business Name): WILLIAM JOSEPH SHEPHERD JR. PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 N HIGHLAND LAKE RD
FLAT ROCK NC
28731-8568
US

IV. Provider business mailing address

449 UNIVERSAL LN UNIT 109
HENDERSONVILLE NC
28792-0605
US

V. Phone/Fax

Practice location:
  • Phone: 828-388-0081
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number34781
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: