Active NPI
Renee D Henry, RPH
- Pharmacist
- Maiden, NC
National Provider Identifier
1699047035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22181
- Practice address
- 6028 S NC 16 Hwy
Maiden, NC 28650-8114 - Phone
- (704) 483-9133
- NPI assigned
- Feb 1, 2012
- Last updated
- Dec 22, 2022
- 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 | 22181 | NC | Primary |
Addresses
Primary practice location
6028 S NC 16 Hwy
Maiden, NC 28650-8114
Mailing address
6028 S NC 16 Hwy
Maiden, NC 28650-8114
Phone (704) 483-9133
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22181 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
6028 S NC 16 Hwy
Maiden, NC 28650
Phone (704) 483-9133
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": "1328054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671667200000",
"number": "1699047035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6028 S NC 16 HWY",
"city": "MAIDEN",
"state": "NC",
"postal_code": "286508114",
"telephone_number": "704-483-9133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6028 S NC 16 HWY",
"city": "MAIDEN",
"state": "NC",
"postal_code": "286508114",
"telephone_number": "704-483-9133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "RENEE",
"middle_name": "D",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-01",
"last_updated": "2022-12-22",
"certification_date": "2022-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "22181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maiden, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.