=====================================================
General NPI Number Information
=====================================================
NPI Number | 1407337355
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | WENDI DAWN JONES PHARMD, RPH
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/28/2018
-----------------------------------------------------
Last Update Date | 07/17/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 131 THIRD ST
-----------------------------------------------------
City | AYDEN
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28513-7252
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 919-602-1400
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 503 E 5TH ST
-----------------------------------------------------
City | WASHINGTON
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27889-4504
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 919-602-1400
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 27934
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------