Active NPI
Jenna Greene Redwine, PHARMD
- Pharmacist
- Whiteville, NC
National Provider Identifier
1699386508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 29860
- Practice address
- 803 N JK Powell Blvd
Whiteville, NC 28472-2122 - Phone
- (910) 640-0900
- NPI assigned
- Aug 13, 2020
- 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 | 29860 | NC | Primary |
Addresses
Primary practice location
803 N JK Powell Blvd
Whiteville, NC 28472-2122
Mailing address
318 Floyd St
Fair Bluff, NC 28439-9407
Phone (910) 640-8320
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 |
|---|---|---|---|
| 29860 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
803 N Jk Powell Blvd
Whiteville, NC 28472
Phone (910) 640-0900
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": "1597276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597276800000",
"number": "1699386508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "318 FLOYD ST",
"city": "FAIR BLUFF",
"state": "NC",
"postal_code": "284399407",
"telephone_number": "910-640-8320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803 N JK POWELL BLVD",
"city": "WHITEVILLE",
"state": "NC",
"postal_code": "284722122",
"telephone_number": "910-640-0900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDWINE",
"first_name": "JENNA",
"middle_name": "GREENE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-13",
"last_updated": "2020-08-13",
"certification_date": "2020-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "29860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whiteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.