Active NPI
Kyla Bussert
- Pharmacist
- Winston Salem, NC
National Provider Identifier
1730637398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 25861
- Practice address
- 5001 Country Club Rd
Winston Salem, NC 27104-4513 - Phone
- (336) 659-0391
- NPI assigned
- Sep 13, 2016
- 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 | 25861 | NC | Primary |
Addresses
Primary practice location
5001 Country Club Rd
Winston Salem, NC 27104-4513
Mailing address
3231 High Cliffs Rd
Pfafftown, NC 27040-9552
Phone (937) 232-9782
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 |
|---|---|---|---|
| 25861 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473724800000",
"number": "1730637398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3231 HIGH CLIFFS RD",
"city": "PFAFFTOWN",
"state": "NC",
"postal_code": "270409552",
"telephone_number": "937-232-9782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5001 COUNTRY CLUB RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271044513",
"telephone_number": "336-659-0391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSSERT",
"first_name": "KYLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-13",
"last_updated": "2016-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "25861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.