Deana Smalls, PHARM.D.

Individual provider Active NPI Pharmacist · Walkertown, NC

NPI 1104424498 · NPPES record last updated Oct 9, 2020

Key facts

NPI
1104424498
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
29378 (NC)
Practice address
2912 Main St
Walkertown, NC 27051-9324
Phone
(336) 595-2638
NPI assigned
Oct 9, 2020
Sex
Female
Sole proprietor
No

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.

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

LicenseStateTypeSpecialty
29378NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Current
since Apr 10, 2022
Accepting new patients
Walgreen Co Past
since Oct 11, 2020
Accepting new patients

Locations

2912 Main St
Walkertown, NC 27051
Phone (336) 595-2638

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 29378 NC Yes

Addresses

Primary practice location

2912 Main St
Walkertown, NC 27051-9324

Mailing address

5505 Belmont Dr Apt 301
Winston Salem, NC 27106-6499

Other providers in Walkertown, NC

All providers in Walkertown, NC · Pharmacist in North Carolina

Sources for this page

Verify at the official NPI Registry.