Shayna Vance Cole, PHARMD
Individual provider Active NPI Pharmacist · Newland, NC
NPI 1548040413 · NPPES record last updated Sep 29, 2023
Key facts
- NPI
- 1548040413
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 28010 (NC)
- Practice address
- 107 Estatoa Ave
Newland, NC 28657-7832 - Phone
- (828) 733-0061
- Fax
- (828) 733-0027
- NPI assigned
- Sep 29, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28010 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Pharmacy Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28010 | NC | Yes |
Addresses
Primary practice location
107 Estatoa Ave
Newland, NC 28657-7832
Mailing address
156 Little Buck Hill Rd
Newland, NC 28657-9806
Phone (828) 467-4852
Other providers in Newland, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.