Healthcare Provider Details

I. General information

NPI: 1730170895
Provider Name (Legal Business Name): JULIE ANN GOUVEIA-PISANO BSPHARM,PHARMD, BCPS
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 10/28/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 BALTIMORE RD
HOLLY SPRINGS NC
27540-9412
US

IV. Provider business mailing address

105 BALTIMORE RD
HOLLY SPRINGS NC
27540-9412
US

V. Phone/Fax

Practice location:
  • Phone: 919-567-1673
  • Fax: 919-567-1673
Mailing address:
  • Phone: 919-567-1673
  • Fax: 919-567-1673

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number12148
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number12148
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: