Healthcare Provider Details

I. General information

NPI: 1013820224
Provider Name (Legal Business Name): NAI KASSANDRA CHAO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

349 KINSTON HWY
RICHLANDS NC
28574-6420
US

IV. Provider business mailing address

349 KINSTON HWY
RICHLANDS NC
28574-6420
US

V. Phone/Fax

Practice location:
  • Phone: 910-324-6524
  • Fax:
Mailing address:
  • Phone: 910-324-6524
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number35031
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: