Healthcare Provider Details

I. General information

NPI: 1053444281
Provider Name (Legal Business Name): JEREMY PATTERSON PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1838 EASTCHESTER DR STE 102
HIGH POINT NC
27265-1494
US

IV. Provider business mailing address

3305 MORRIS FARM DR
JAMESTOWN NC
27282-8670
US

V. Phone/Fax

Practice location:
  • Phone: 336-294-1044
  • Fax:
Mailing address:
  • Phone: 336-324-0942
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number16070
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: