Christina Neverte Sidrak, PHARM D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

20797 Issued in NC

Practice address

4211 NC Highway 11 South
Winterville, NC 28590

Phone

(252) 215-0467

NPI assigned

Aug 12, 2010

Last updated

Aug 12, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Christina Sidrak Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281571200000",
    "number": "1740595859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 VINEYARD DR",
            "address_2": "UNIT C8",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285908297",
            "telephone_number": "843-267-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 NC HIGHWAY 11 SOUTH",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "28590",
            "telephone_number": "252-215-0467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDRAK",
        "first_name": "CHRISTINA",
        "middle_name": "NEVERTE",
        "credential": "PHARM D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-12",
        "last_updated": "2010-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "20797",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "12734",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "SIDRAK",
            "credential": "PHARM D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Pharmacist in Winterville, NC
• Providers in Winterville, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.