Active NPI
Maider Vang
- Pharmacist
- Rockingham, NC
National Provider Identifier
1689205452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 29319
- Practice address
- 1206 E Broad Ave
Rockingham, NC 28379-4902 - Phone
- (910) 895-2453
- NPI assigned
- Jan 30, 2020
- Last updated
- Jan 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 29319 | NC | Primary |
Addresses
Primary practice location
1206 E Broad Ave
Rockingham, NC 28379-4902
Mailing address
1206 E Broad Ave
Rockingham, NC 28379-4902
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29319 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina CVS Pharmacy LLC | Past | Accepting new patients | |
| North Carolina CVS Pharmacy, L.L.C. | 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": "1580342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580342400000",
"number": "1689205452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1206 E BROAD AVE",
"city": "ROCKINGHAM",
"state": "NC",
"postal_code": "283794902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1206 E BROAD AVE",
"city": "ROCKINGHAM",
"state": "NC",
"postal_code": "283794902",
"telephone_number": "910-895-2453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANG",
"first_name": "MAIDER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-30",
"last_updated": "2020-01-30",
"certification_date": "2020-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "29319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockingham, NC
- Unifour Healthcare, Inc.
- Unique Care Intervention Services,Inc
- Urban Health Solutions LLC
- Urgent Cares of America North Carolina Inc (FastMed Urgent Care of Rockingham)
- Susan Oxendine Valentine, NP
- Paul Vansweden, MD
- Carole McDuffie Venable, RNC FNP
- Caroline Vining, FNP-BC
- Wal-Mart Stores East LP (Walmart Pharmacy 10-1010)
- Wal-Mart Stores East, LP (Vision Center 30-1010)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.