Healthcare Provider Details

I. General information

NPI: 1659026466
Provider Name (Legal Business Name): ANGELA ROSE KNIGHT PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2022
Last Update Date: 02/21/2022
Certification Date: 02/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 E 42ND ST FL 5
NEW YORK NY
10017-5612
US

IV. Provider business mailing address

15 HELEN HOLCOMBE WAY
CANDLER NC
28715-7425
US

V. Phone/Fax

Practice location:
  • Phone: 877-234-6667
  • Fax: 646-537-1481
Mailing address:
  • Phone: 715-944-4337
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number27937
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: