Keiko Stout Bury, PHARMD
Individual provider Active NPI Pharmacist · Carrboro, NC
NPI 1013359199 · NPPES record last updated Feb 20, 2024
Key facts
- NPI
- 1013359199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 23467 (NC)
- Practice address
- 104 NC Highway 54 Ste W
Suite J
Carrboro, NC 27510-1597 - Phone
- (919) 933-7629
- Fax
- (919) 933-7631
- NPI assigned
- Jul 18, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
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 |
|---|---|---|---|
| 23467 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bury Drug, Inc. | Current | Accepting new patients | |
| Bury Drug, Inc. | Current | Accepting new patients |
Locations
104 NC Highway 54
Ste J
Carrboro, NC 27510
Phone (919) 933-7629
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 23467 | NC | Yes |
Addresses
Primary practice location
104 NC Highway 54 Ste W
Suite J
Carrboro, NC 27510-1597
Mailing address
104 NC 54 Ste J
Carrboro, NC 27510-1597
Phone (919) 933-7629
Other names
- Ms. Keiko Marie Stout
Other providers in Carrboro, NC
- Lauren Turner Brown
- Elizabeth Helen Brubaker
- Christina Marie Brumm
- Bury Drug, Inc.
- Bury Drug, Inc.
- Kim Calandra
- Caramore Community
- Kelly Caravella White
- Care 4 You NC LLC
- Carlisle at Carrboro
All providers in Carrboro, 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 Feb 20, 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.