Active NPI
Heather Lynette Maynor, PHARM.D.
- Pharmacist
- Goldsboro, NC
National Provider Identifier
1255678637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22980
- Practice address
- 2908 US Highway 70 W
Goldsboro, NC 27530-9560 - Phone
- (919) 736-7706
- Fax
- (919) 735-7939
- NPI assigned
- Jan 6, 2013
- Last updated
- Oct 28, 2024
- 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 | 22980 | NC | Primary |
Addresses
Primary practice location
2908 US Highway 70 W
Goldsboro, NC 27530-9560
Mailing address
2908 US Highway 70 W
Goldsboro, NC 27530-9560
Phone (919) 736-7706
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22980 | Other | NC | NCBOP LICENSE |
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 |
|---|---|---|---|
| 22980 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goshen Medical Center Incorporated | Current | Accepting new patients | |
| Wal-Mart Stores East, LP | Past | Accepting new patients | |
| Crescent Foods, Inc. | Past | Accepting new patients | |
| Wal-Mart Stores East LP | Past | Accepting new patients | |
| Crescent Foods, Inc. | Past | Accepting new patients |
Locations
444 SW Center St
Faison, NC 28341
Phone (910) 267-0421
Interoperability endpoints
- hmaynor@goshenmedical.cloudcraftdirect.com
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Faison, NC
- NPI 1154378933
-
dba Walmart Pharmacy 10-4564
- Community/Retail Pharmacy
- Goldsboro, NC
- NPI 1639379498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1255678637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2908 US HIGHWAY 70 W",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275309560",
"telephone_number": "919-736-7706",
"fax_number": "919-737-7939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2908 US HIGHWAY 70 W",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275309560",
"telephone_number": "919-736-7706",
"fax_number": "919-735-7939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYNOR",
"first_name": "HEATHER",
"middle_name": "LYNETTE",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-06",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "22980",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCBOP LICENSE",
"identifier": "22980",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Goldsboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.