Healthcare Provider Details

I. General information

NPI: 1083394654
Provider Name (Legal Business Name): CAROLINE HERRON PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2023
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3511 W MARKET ST STE 100
GREENSBORO NC
27403-4444
US

IV. Provider business mailing address

3511 W MARKET ST STE 100
GREENSBORO NC
27403-4444
US

V. Phone/Fax

Practice location:
  • Phone: 336-522-8882
  • Fax: 336-365-7541
Mailing address:
  • Phone: 336-522-8882
  • Fax: 336-365-7541

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number31516
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: