Active NPI
Lauren Prentice, PHARMD
- Pharmacist
- Wallace, NC
National Provider Identifier
1639404049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20446
- Practice address
- 5717 S NC 41 Hwy
Wallace, NC 28466-9220 - Phone
- (910) 285-6481
- NPI assigned
- Oct 3, 2009
- Last updated
- Aug 29, 2014
- 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 | 20446 | NC | Primary |
Addresses
Primary practice location
5717 S NC 41 Hwy
Wallace, NC 28466-9220
Mailing address
5717 S NC 41 Hwy
Wallace, NC 28466-9220
Phone (910) 285-6481
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376565465 | Other | NC | NPI |
| 0920894 | Medicaid | NC |
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 |
|---|---|---|---|
| 20446 | NC | MD | Pharmacist |
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": "1254528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409270400000",
"number": "1639404049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5717 S NC 41 HWY",
"city": "WALLACE",
"state": "NC",
"postal_code": "284669220",
"telephone_number": "910-285-6481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5717 S NC 41 HWY",
"city": "WALLACE",
"state": "NC",
"postal_code": "284669220",
"telephone_number": "910-285-6481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRENTICE",
"first_name": "LAUREN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-03",
"last_updated": "2014-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "20446",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1376565465",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0920894",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wallace, NC
- PO Powell Management Group, LLC
- Carlie Powell
- Megan Carlton Powell, DPT
- Dametri Pratt
- Premise Health of North Carolina Medical PC (House of Raeford Health & Wellness Center)
- Shanna Bond Raynor
- Realo Discount Drug Stores of Eastern North Carolina, Inc (Realo Discount Drugs)
- Daniel Michael Ricci, M.D.
- Donna Roberts Rice, RPH
- J Daniel Robinson III, OD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.