Healthcare Provider Details

I. General information

NPI: 1376462499
Provider Name (Legal Business Name): KATHERINE GRACE HINDMAN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATIE HINDMAN PHARMD

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1121 N CHURCH ST
GREENSBORO NC
27401-1007
US

IV. Provider business mailing address

703 E MAIN ST APT 103
JAMESTOWN NC
27282-9801
US

V. Phone/Fax

Practice location:
  • Phone: 843-343-2793
  • Fax:
Mailing address:
  • Phone: 843-343-2793
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number33944
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: