Charmaine B Rozanov-Overholt, PH.D., R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

18092 Issued in NC

Practice address

3440 Robinhood Rd
Winston Salem, NC 27106-4702

Phone

(336) 768-6610

Fax

(336) 768-6201

NPI assigned

Mar 9, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy, Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eckerd Corporation

  • Community/Retail Pharmacy
  • Winston Salem, NC
  • NPI 1124129978
  NPD (past)
• Eckerd Corporation

  • Community/Retail Pharmacy
  • Virginia Beach, VA
  • NPI 1982703120
  NPD (past)

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

{
    "created_epoch": "1299628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299628800000",
    "number": "1295033686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 CINNAMON WAY",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270127263",
            "telephone_number": "336-764-8389",
            "fax_number": "336-764-8389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 ROBINHOOD RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271064702",
            "telephone_number": "336-768-6610",
            "fax_number": "336-768-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZANOV-OVERHOLT",
        "first_name": "CHARMAINE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PH.D., R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-09",
        "last_updated": "2011-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "18092",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03326788",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Diane Royal, LCSW
• Jimmy Ray Royall, CFTS
• Trevor Joseph Royce, M.D.
• Roger Lee Royster, MD
• J Fuller Royston, DC
• Richard Todd Rozier Jr., MD
• RT Transit Services LLC
• Rosemarie Lynn Rubello, PA-C
• Alyssa Marie Ruberto, PHARMD, MBA
• Bryon Evan Rubery, M.D.

• Pharmacist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.

Verify at the official NPI Registry.