Active NPI
Ann B. Womack, RPH
- Pharmacist
- Sanford, NC
National Provider Identifier
1174810352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5736
- Practice address
- 1050 S Horner Blvd
Sanford, NC 27330-5323 - Phone
- (919) 776-4107
- Fax
- (919) 774-4490
- NPI assigned
- Jul 7, 2011
- 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 | 183500000X | 5736 | NC | Primary |
Addresses
Primary practice location
1050 S Horner Blvd
Sanford, NC 27330-5323
Mailing address
1050 S Horner Blvd
Sanford, NC 27330-5323
Phone (919) 776-4107
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0535310 | 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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5736 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309996800000",
"number": "1174810352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 S HORNER BLVD",
"city": "SANFORD",
"state": "NC",
"postal_code": "273305323",
"telephone_number": "919-776-4107",
"fax_number": "919-774-4490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 S HORNER BLVD",
"city": "SANFORD",
"state": "NC",
"postal_code": "273305323",
"telephone_number": "919-776-4107",
"fax_number": "919-774-4490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOMACK",
"first_name": "ANN",
"middle_name": "B.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-07",
"last_updated": "2011-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "5736",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0535310",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sanford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.