Cassandra Widener, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

23397 Issued in NC

Practice address

1624 NC Highway 14
Reidsville, NC 27320-9666

Phone

(336) 349-2325

Fax

(336) 349-2418

NPI assigned

May 17, 2014

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

Other names 1

• Cassandra Gilliam Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1400284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400284800000",
    "number": "1346651809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 NC HIGHWAY 14",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273209666",
            "telephone_number": "336-349-2325",
            "fax_number": "336-349-2418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 NC HIGHWAY 14",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273209666",
            "telephone_number": "336-349-2325",
            "fax_number": "336-349-2418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDENER",
        "first_name": "CASSANDRA",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-17",
        "last_updated": "2014-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "23397",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202212625",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSANDRA",
            "last_name": "GILLIAM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Robert Lewis Wheless, DDS
• Jennifer Robyn Whitehead, LMFTA
• Tiffany S. Wicker, CFM
• William S Bradford MD PA
• Anika Keyshawn Williams-Johnson, ST.
• Marjenia Latonya Williams, PMHNP-BC
• Ronald Lee Wilson Jr.
• Windham Hall, Inc

• Pharmacist in Reidsville, NC
• Providers in Reidsville, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2014; 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.