Individual provider Active NPI

Kaitlyn Coggsdale

  • Ambulatory Care Pharmacist
  • Smithfield, NC
National Provider Identifier
1245127869
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care PharmacistTaxonomy code 1835P2201X
License
32338 Issued in NC
Practice address
910 Berkshire Rd
Smithfield, NC 27577-4751
Phone
(919) 989-7909
NPI assigned
Jun 18, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Pharmacist 1835P2201X 32338 NC Primary

Addresses

Primary practice location

910 Berkshire Rd
Smithfield, NC 27577-4751

Mailing address

4420 Lake Boone TRL
Raleigh, NC 27607-7505

Other practice location 1

2605 Forest Hills Rd SW Ste D
Wilson, NC 27893-4448
Phone (252) 243-7161

Other practice location 2

2800 Blue Ridge Rd
Raleigh, NC 27607-6478
Phone (919) 784-3324

Other practice location 3

4414 Lake Boone Trl Ste 505
Raleigh, NC 27607-7521
Phone (919) 784-2300

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

State licenses

LicenseStateTypeSpecialty
32338NCMDAmbulatory Care Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1245127869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 LAKE BOONE TRL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 BERKSHIRE RD",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774751",
            "telephone_number": "919-989-7909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2605 Forest Hills Rd SW Ste D",
            "address_purpose": "LOCATION",
            "city": "Wilson",
            "state": "NC",
            "postal_code": "278934448",
            "country_code": "US",
            "telephone_number": "252-243-7161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2800 Blue Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276076478",
            "country_code": "US",
            "telephone_number": "919-784-3324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4414 Lake Boone Trl Ste 505",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276077521",
            "country_code": "US",
            "telephone_number": "919-784-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COGGSDALE",
        "first_name": "KAITLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "NC",
            "license": "32338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.