Individual provider Active NPI

Julianna K Sheppard, PHARMD

  • Pharmacist
  • Winston Salem, NC
National Provider Identifier
1326485251
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS48943 Issued in FL
Practice address
5525 Robin Lark Cir
Winston Salem, NC 27106-9906
Phone
(336) 815-6008
Fax
(336) 793-9973
NPI assigned
Jun 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 31034 NC
Pharmacist 183500000X PS48943 FL Primary

Addresses

Primary practice location

5525 Robin Lark Cir
Winston Salem, NC 27106-9906

Mailing address

5525 Robin Lark Cir
Winston Salem, NC 27106-9906
Phone (336) 815-6008

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

LicenseStateTypeSpecialty
PS48943FLMDPharmacist
31034NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Publix North Carolina, LP CurrentSince Aug 18, 2024 Accepting new patients
Publix North Carolina, LP PastSince Aug 18, 2024 Accepting new patients

Locations

5525 Robin Lark Cir
Winston Salem, NC 27106
Phone (336) 815-6008

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1370044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1326485251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 ROBIN LARK CIR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271069906",
            "telephone_number": "336-815-6008",
            "fax_number": "336-793-9973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 ROBIN LARK CIR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271069906",
            "telephone_number": "336-815-6008",
            "fax_number": "336-793-9973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPARD",
        "first_name": "JULIANNA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-01",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "31034",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS48943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.

Verify at the official NPI Registry.