Active NPI
Elizabeth Olaide Jegede, PHARMACIST
- Pharmacist
- Lexington, NC
National Provider Identifier
1790097509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20871
- Practice address
- 6475 Old Highway 52
Rite Aid Pharmacy
Lexington, NC 27103 - Phone
- (336) 731-3033
- Fax
- (336) 731-0273
- NPI assigned
- Jul 9, 2010
- 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 | 20871 | NC | Primary |
Addresses
Primary practice location
6475 Old Highway 52
Rite Aid Pharmacy
Lexington, NC 27103
Mailing address
6147 Chamberlain PL
Apt 201
Winston Salem, NC 27103-7148
Phone (336) 766-0066
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 |
|---|---|---|---|
| 20871 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278633600000",
"number": "1790097509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6147 CHAMBERLAIN PL",
"address_2": "APT 201",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271037148",
"telephone_number": "336-766-0066",
"fax_number": "336-766-0066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6475 OLD HIGHWAY 52",
"address_2": "RITE AID PHARMACY",
"city": "LEXINGTON",
"state": "NC",
"postal_code": "27103",
"telephone_number": "336-731-3033",
"fax_number": "336-731-0273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEGEDE",
"first_name": "ELIZABETH",
"middle_name": "OLAIDE",
"name_prefix": "Mrs.",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-09",
"last_updated": "2010-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "20871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.