Active NPI
Cassandra Braddock Pope, PHARMD
- Pharmacist
- Walkertown, NC
National Provider Identifier
1508166232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21022
- Practice address
- 2912 Main St
Walkertown, NC 27051-9324 - Phone
- (336) 595-2638
- NPI assigned
- Oct 28, 2010
- Last updated
- Jan 10, 2016
- Sex
- Female
- Sole proprietor
- No
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 | 21022 | NC | Primary |
Addresses
Primary practice location
2912 Main St
Walkertown, NC 27051-9324
Mailing address
2912 Main St
Walkertown, NC 27051-9324
Phone (336) 595-2638
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 |
|---|---|---|---|
| 21022 | NC | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452384000000",
"number": "1508166232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2912 MAIN ST",
"city": "WALKERTOWN",
"state": "NC",
"postal_code": "270519324",
"telephone_number": "336-595-2638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2912 MAIN ST",
"city": "WALKERTOWN",
"state": "NC",
"postal_code": "270519324",
"telephone_number": "336-595-2638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPE",
"first_name": "CASSANDRA",
"middle_name": "BRADDOCK",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-28",
"last_updated": "2016-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "21022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walkertown, NC
- Novant Health Medical Group, LLC
- Novant Health Medical Group, LLC (Novant Health Forsyth Pediatrics)
- Courtney Laura Pegram, RPH
- Natalie Phe, RRT
- Wesley F Phillips, MD
- John Richardson
- Jeremiah Timothy Roark, PHARMD. RPH.
- Deana Smalls, PHARM.D.
- Brian Scott Smith, B.S. PHARM-D
- Laura Blackburn Smith, PHARMD, MSCR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.