=====================================================
General NPI Number Information
=====================================================
NPI Number | 1700033420
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | RENEE HODGE HOWARD PHARMD, PA-C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/25/2008
-----------------------------------------------------
Last Update Date | 11/07/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1124 N WASHINGTON ST
-----------------------------------------------------
City | SHELBY
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28150-3862
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 980-487-1148
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 229 SHALLOW CREEK TRL
-----------------------------------------------------
City | UNION MILLS
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28167-7940
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-919-0155
-----------------------------------------------------
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 | 19686
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | 0010-14748
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------