Active NPI
Deanne Knick Vito, RPH
- Pharmacist
- Henderson, NC
National Provider Identifier
1710437496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15745
- Practice address
- 200 N Cooper Dr
Henderson, NC 27536-4016 - Phone
- (336) 852-0997
- NPI assigned
- Oct 6, 2016
- Last updated
- Nov 12, 2024
- 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 | 15745 | NC | Primary |
Addresses
Primary practice location
200 N Cooper Dr
Henderson, NC 27536-4016
Mailing address
1328 Martin Creek Dr
Wake Forest, NC 27587-3399
Phone (336) 456-0952
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731369600000",
"number": "1710437496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1328 MARTIN CREEK DR",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275873399",
"telephone_number": "336-456-0952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N COOPER DR",
"city": "HENDERSON",
"state": "NC",
"postal_code": "275364016",
"telephone_number": "336-852-0997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VITO",
"first_name": "DEANNE",
"middle_name": "KNICK",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-06",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "15745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NC
- John Robert Vanvenrooy, DMD, MPH, PA
- Shelby H Vanvenrooy, DDS
- Diane Stegall Varnadore, NURSE PRACTITIONER
- Crystal Venable
- Visions of Greatness, Inc
- Khanh Tuan Vu, M.D.
- Mark Vedder Wainright, D.D.S., M.S.
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2256)
- Wal-Mart Stores East, LP (Vision Center 30-2256)
- Walgreen Co (Walgreens #07398)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.