Clint Lane Ledford, PHARMD
Individual provider Active NPI Pharmacist · Hayesville, NC
NPI 1003025115 · NPPES record last updated Jun 12, 2024
Key facts
- NPI
- 1003025115
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 19422 (NC)
- Practice address
- 230 Highway 64 E
Hayesville, NC 28904-5526 - Phone
- (828) 389-2804
- Fax
- (828) 389-2832
- NPI assigned
- May 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH023079 | GA | MD | Pharmacist |
| 19422 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ingles Markets Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19422 | NC | Yes |
| Pharmacist | 183500000X | RPH023079 | GA |
Addresses
Primary practice location
230 Highway 64 E
Hayesville, NC 28904-5526
Mailing address
230 Highway 64 E
Hayesville, NC 28904-5526
Phone (828) 389-2804
Other providers in Hayesville, NC
- Iona Resources LLC
- Jeffrey L. Taylor OD and Lynn C. Taylor OD, PA
- Mary Ann Johnson
- Dana Kennedy
- Kerr Drug Inc
- Erin Jones Ledford
- Hanna Trull Ledford
- Julie Patterson Ledford
- Lifespan, Inc.
- Ruth O Lima
All providers in Hayesville, NC · Pharmacist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.