Charlene Mitchell, PHARMD.

Primary specialty

PharmacistTaxonomy code 183500000X

License

13101 Issued in NC

Practice address

1003 12TH St
John Umstead Hospital
Butner, NC 27509-1626

Phone

(919) 575-7394

NPI assigned

Jan 19, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154474450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 TERESA DR",
            "city": "ROLESVILLE",
            "state": "NC",
            "postal_code": "275719504",
            "telephone_number": "919-575-7674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 12TH ST",
            "address_2": "JOHN UMSTEAD HOSPITAL",
            "city": "BUTNER",
            "state": "NC",
            "postal_code": "275091626",
            "telephone_number": "919-575-7394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "CHARLENE",
        "name_prefix": "Dr.",
        "credential": "PHARMD.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "13101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NUMBER",
            "identifier": "13101",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janice McStoots, MSW, LCSW
• Robert Dismas Melin, PSY.D.
• Sara Kristine Michaelsen, LCSW-A
• Jody W. Miller, M.D.
• Willesha Edwanda Miller
• Joseph Cameron Mitchell, PHARM.D.
• Lelia Ann Mitchener, PHARMD
• Kathryn M Moore, PHARMD
• Richard Earl Moore Jr., PHARMD
• Shaneeka L Moore, LCSWA

• Pharmacist in Butner, NC
• Providers in Butner, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.