Jeanie Lynn Sadler
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Carolina Beach, NC
NPI 1780970723 · NPPES record last updated Nov 29, 2022
Key facts
- NPI
- 1780970723
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- 0202205078 (VA)
- Practice address
- 211 Georgia Ave
Carolina Beach, NC 28428-5810 - Phone
- (540) 847-7979
- NPI assigned
- Jun 28, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30265 | NC | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 0202205078 | VA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 30265 | NC | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 0202205078 | VA | Yes |
Addresses
Primary practice location
211 Georgia Ave
Carolina Beach, NC 28428-5810
Mailing address
PO Box 999
Carolina Beach, NC 28428-0999
Phone (540) 847-7979
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30265 | Other | NC | LICENSURE |
Other providers in Carolina Beach, NC
- Sabra L Quarles
- Justine J. Reel
- Heather Reynolds
- Meghan Elizabeth Richardson
- Howard Ruscetti
- Savannah Rose Wellness
- Seaside Counseling Services, PLLC
- Seaside Internal Medicine PLLC
- Shoreview Medical Associates, PLLC
- Vincent Robert Smith
All providers in Carolina Beach, NC · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.