Healthcare Provider Details

I. General information

NPI: 1821325812
Provider Name (Legal Business Name): LORI WOODALL JONES PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/11/2009
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4003 W VERNON AVE
KINSTON NC
28504-9674
US

IV. Provider business mailing address

4003 W VERNON AVE
KINSTON NC
28504-9674
US

V. Phone/Fax

Practice location:
  • Phone: 252-559-1121
  • Fax: 252-559-1381
Mailing address:
  • Phone: 252-559-1121
  • Fax: 252-559-1381

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number15858
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: