Active NPI
Carol E Dietz, RPH
- Pharmacist
- Cary, NC
National Provider Identifier
1699068064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10235
- Practice address
- 2741 NC Highway 55
Cary, NC 27519-6206 - Phone
- (919) 363-3278
- Fax
- (919) 303-6661
- NPI assigned
- May 18, 2011
- Last updated
- May 18, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10235 | NC | Primary |
| Pharmacist | 183500000X | 26015815 | IN |
Addresses
Primary practice location
2741 NC Highway 55
Cary, NC 27519-6206
Mailing address
1411 Jenks Carpenter Rd
Cary, NC 27519-9425
Phone (919) 749-8347
Other names 1
- Carol Wynne
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 |
|---|---|---|---|
| 26015815 | IN | MD | Pharmacist |
| 10235 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harris Teeter LLC | Past | Accepting new patients | |
| Harris Teeter, LLC | 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.
-
- Community/Retail Pharmacy
- Cary, NC
- NPI 1467547935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305676800000",
"number": "1699068064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 JENKS CARPENTER RD",
"city": "CARY",
"state": "NC",
"postal_code": "275199425",
"telephone_number": "919-749-8347",
"fax_number": "919-303-6661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2741 NC HIGHWAY 55",
"city": "CARY",
"state": "NC",
"postal_code": "275196206",
"telephone_number": "919-363-3278",
"fax_number": "919-303-6661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIETZ",
"first_name": "CAROL",
"middle_name": "E",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-18",
"last_updated": "2011-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "10235",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26015815",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAROL",
"last_name": "WYNNE",
"credential": "RPH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.