=====================================================
General NPI Number Information
=====================================================
NPI Number | 1629327218
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MEGAN WEBB
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/29/2012
-----------------------------------------------------
Last Update Date | 08/11/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6715 MCCRIMMON PKWY STE 202
-----------------------------------------------------
City | CARY
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27519-1916
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 984-215-6368
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 401 SOUTH MAIN STREET
-----------------------------------------------------
City | GRAHAM
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27253
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
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 | 22586
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------