Healthcare Provider Details

I. General information

NPI: 1235060120
Provider Name (Legal Business Name): KENDRA VISILIAS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 EUROPA DR STE 460 CHAPEL HILL, NC 27517
WILMINGTON NC
28403-3580
US

IV. Provider business mailing address

1522 WESTPRONG WAY
WILMINGTON NC
28403-3580
US

V. Phone/Fax

Practice location:
  • Phone: 180-074-6728
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number34591
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: