Angela Lynn Fipps-White, PHARMD

Individual provider Active NPI Pharmacist · Spring Lake, NC

NPI 1386797264 · NPPES record last updated Mar 9, 2011

Key facts

NPI
1386797264
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
12293 (NC)
Practice address
6779 Overhills Road
Spring Lake, NC 28390-8873
Phone
(910) 670-2396
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
12293NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Creek Pharmacy Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 12293 NC Yes

Addresses

Primary practice location

6779 Overhills Road
Spring Lake, NC 28390-8873

Mailing address

PO Box 470
Linden, NC 28356-0470
Phone (910) 670-2396

Other providers in Spring Lake, NC

All providers in Spring Lake, NC · Pharmacist in North Carolina

Sources for this page

Verify at the official NPI Registry.