Active NPI
Katherine Easterling Mines, PHARMD
- Pharmacist
- Winston Salem, NC
National Provider Identifier
1639620909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26572
- Practice address
- 3601 Reynolda Rd
Winston Salem, NC 27106-2229 - Phone
- (336) 924-9366
- Fax
- (336) 924-5345
- NPI assigned
- Oct 20, 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 | 26572 | NC | Primary |
Addresses
Primary practice location
3601 Reynolda Rd
Winston Salem, NC 27106-2229
Mailing address
2459 Joshua LN
Winston Salem, NC 27127-7610
Phone (910) 894-2817
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 |
|---|---|---|---|
| 26572 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476921600000",
"number": "1639620909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2459 JOSHUA LN",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271277610",
"telephone_number": "910-894-2817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 REYNOLDA RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271062229",
"telephone_number": "336-924-9366",
"fax_number": "336-924-5345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINES",
"first_name": "KATHERINE",
"middle_name": "EASTERLING",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-20",
"last_updated": "2016-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "26572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.