Individual provider Active NPI

Sarah Beth Rae Whittenburg, PHARMD

  • Pharmacist
  • Winston Salem, NC
National Provider Identifier
1144452483
Registry record updated Aug 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
20563 Issued in NC
Practice address
2452 Southmont Dr
Apt #206
Winston Salem, NC 27103-7085
Phone
(423) 329-0286
NPI assigned
Aug 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 20563 NC Primary

Addresses

Primary practice location

2452 Southmont Dr
Apt #206
Winston Salem, NC 27103-7085

Mailing address

2452 Southmont Dr
Apt #206
Winston Salem, NC 27103-7085
Phone (423) 329-0286

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

LicenseStateTypeSpecialty
20563NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250726400000",
    "number": "1144452483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2452 SOUTHMONT DR",
            "address_2": "APT #206",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271037085",
            "telephone_number": "423-329-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2452 SOUTHMONT DR",
            "address_2": "APT #206",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271037085",
            "telephone_number": "423-329-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTENBURG",
        "first_name": "SARAH",
        "middle_name": "BETH RAE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2009-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "20563",
            "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 Aug 20, 2009; 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.