Active NPI
Bianca Xiomara Lascano, PHARMD
- Pharmacist
- Winston Salem, NC
National Provider Identifier
1013402619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 29749
- Practice address
- 2125 Cloverdale Ave
Winston Salem, NC 27103-2506 - Phone
- (336) 723-0561
- NPI assigned
- Jun 26, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | NA | VA | |
| Pharmacist | 183500000X | 29749 | NC | Primary |
Addresses
Primary practice location
2125 Cloverdale Ave
Winston Salem, NC 27103-2506
Mailing address
4000 Clubhouse CT Apt 2G
High Point, NC 27265-8194
Phone (757) 284-6004
Other practice location 1
5720 1st Ave S
Birmingham, AL 35212-2522
Phone (205) 380-9455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29749 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Winston Salem, NC
- NPI 1912912098
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598918400000",
"number": "1013402619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 CLUBHOUSE CT APT 2G",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272658194",
"telephone_number": "757-284-6004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2125 CLOVERDALE AVE",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271032506",
"telephone_number": "336-723-0561"
}
],
"practiceLocations": [
{
"address_1": "5720 1st Ave S",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352122522",
"country_code": "US",
"telephone_number": "205-380-9455",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LASCANO",
"first_name": "BIANCA",
"middle_name": "XIOMARA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-26",
"last_updated": "2020-09-01",
"certification_date": "2020-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "NA",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "29749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.