Active NPI
Justine Phillips, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Winston Salem, NC
National Provider Identifier
1124412135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 21511
- Practice address
- 1955 N Peace Haven Rd
Winston Salem, NC 27106-4850 - Phone
- (336) 765-6285
- Fax
- (336) 768-3709
- NPI assigned
- Mar 27, 2015
- Last updated
- Jun 23, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 21511 | NC | Primary |
Addresses
Primary practice location
1955 N Peace Haven Rd
Winston Salem, NC 27106-4850
Mailing address
1955 N Peace Haven Rd
Winston Salem, NC 27106-4850
Phone (336) 765-6285
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0305086 | Medicaid | NC |
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 |
|---|---|---|---|
| 21511 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harris Teeter LLC | Past | Accepting new patients | |
| Foster Drug Co Inc | Pharmacist | Past | Accepting new patients |
| Harris Teeter, LLC | Past | Accepting new patients | |
| Foster Drug of Mocksville | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pharmacist
- Mocksville, NC
- NPI 1346632825
-
- Community/Retail Pharmacy
- Mocksville, NC
- NPI 1386700268
-
- Community/Retail Pharmacy
- Winston Salem, NC
- NPI 1831293265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782172800000",
"number": "1124412135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1955 N PEACE HAVEN RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271064850",
"telephone_number": "336-765-6285",
"fax_number": "336-768-3709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1955 N PEACE HAVEN RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271064850",
"telephone_number": "336-765-6285",
"fax_number": "336-768-3709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "JUSTINE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-27",
"last_updated": "2026-06-23",
"certification_date": "2026-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "NC",
"license": "21511",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0305086",
"state": "NC"
}
],
"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 Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.