Heather Rene Eaton-Erskine, PHARMD, BCGP, FASCP

Primary specialty

Geriatric PharmacistTaxonomy code 1835G0303X

License

15761 Issued in NC

Practice address

2545 Jetport Rd
Kinston, NC 28504-7339

Phone

(800) 735-9111

NPI assigned

Dec 4, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512345600000",
    "number": "1104331842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5129 GLENHAM DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282102859",
            "telephone_number": "704-517-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 JETPORT RD",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285047339",
            "telephone_number": "800-735-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EATON-ERSKINE",
        "first_name": "HEATHER",
        "middle_name": "RENE",
        "name_prefix": "Dr.",
        "credential": "PHARMD, BCGP, FASCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-04",
        "last_updated": "2017-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "TN",
            "license": "9455",
            "primary": false
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "SC",
            "license": "11755",
            "primary": false
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "NC",
            "license": "15761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Geriatric Pharmacist in Kinston, NC
• Providers in Kinston, NC by specialty
• Geriatric Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.