Susan Cornett, RPH
Individual provider Active NPI Pharmacist · Butner, NC
NPI 1063634616 · NPPES record last updated Apr 13, 2011
Key facts
- NPI
- 1063634616
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 11954 (NC)
- Practice address
- Central Regional Hospital Pharmacy
300 Veazey Road
Butner, NC 27509-1626 - Phone
- (919) 764-5700
- NPI assigned
- May 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11954 | NC | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11954 | NC | Yes |
Addresses
Primary practice location
Central Regional Hospital Pharmacy
300 Veazey Road
Butner, NC 27509-1626
Mailing address
Central Regional Hospital Pharmacy
300 Veazey Road
Butner, NC 27509-1626
Phone (919) 764-5700
Other providers in Butner, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 13, 2011. 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.