Jennifer Steele Vanderslice

Primary specialty

PharmacistTaxonomy code 183500000X

License

21635 Issued in NC

Practice address

720 Sutters Creek Blvd
Rocky Mount, NC 27804-8429

Phone

(252) 937-4701

Fax

(847) 396-2913

NPI assigned

Apr 9, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428537600000",
    "number": "1457747065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1753 NC 39 HWY S",
            "city": "LOUISBURG",
            "state": "NC",
            "postal_code": "275497106",
            "telephone_number": "252-937-4701",
            "fax_number": "847-396-2913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 SUTTERS CREEK BLVD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278048429",
            "telephone_number": "252-937-4701",
            "fax_number": "847-396-2913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERSLICE",
        "first_name": "JENNIFER",
        "middle_name": "STEELE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "21635",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "11413",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.