Sandy Thornton Odum, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

16357 Issued in NC

Practice address

408 Northeast Blvd
Clinton, NC 28328-2434

Phone

(910) 592-3121

Fax

(910) 592-3144

NPI assigned

May 16, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1684195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1396436804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 GREENWOOD DR",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283283066",
            "telephone_number": "910-305-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 NORTHEAST BLVD",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282434",
            "telephone_number": "910-592-3121",
            "fax_number": "910-592-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODUM",
        "first_name": "SANDY",
        "middle_name": "THORNTON",
        "name_prefix": "Mrs.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "16357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Carolina Physicians Eyecare Group, P.C.
• Evelise Nunez, RBT
• Peace Nwanguma, MD
• Amanda H O'Quinn, MS, CCC/SLP
• Morgan Odum, FNP-BC
• Ifeoma Clementina Oguejiofor, DMD
• Omni Visions, Inc.
• Omni Visions, Inc.
• On Call Nursing of NC Inc
• Amanda Otto, MD

• Pharmacist in Clinton, NC
• Providers in Clinton, 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 16, 2023; 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.