Active NPI
Angela Kay Queen, PHARM.D.
- Pharmacist
- Leland, NC
National Provider Identifier
1437441243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15526
- Practice address
- 2050 Mercantile Dr
Leland, NC 28451-4053 - Phone
- (910) 371-2500
- Fax
- (844) 738-6799
- NPI assigned
- May 11, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 15526 | NC | Primary |
Addresses
Primary practice location
2050 Mercantile Dr
Leland, NC 28451-4053
Mailing address
2050 Mercantile Dr
Leland, NC 28451-4053
Phone (910) 371-2500
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15526 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469750400000",
"number": "1437441243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2050 MERCANTILE DR",
"city": "LELAND",
"state": "NC",
"postal_code": "284514053",
"telephone_number": "910-371-2500",
"fax_number": "844-738-6799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 MERCANTILE DR",
"city": "LELAND",
"state": "NC",
"postal_code": "284514053",
"telephone_number": "910-371-2500",
"fax_number": "844-738-6799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUEEN",
"first_name": "ANGELA",
"middle_name": "KAY",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-11",
"last_updated": "2016-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "15526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leland, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.