David Michael Vaughan
Individual provider Active NPI Pharmacist · Winston Salem, NC
NPI 1821453069 · NPPES record last updated Dec 15, 2015
Key facts
- NPI
- 1821453069
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 15533 (NC)
- Practice address
- 4340 Old Lexington Rd
Winston Salem, NC 27107-9408 - Phone
- (336) 650-1799
- NPI assigned
- Dec 15, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| 15533 | NC | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 15533 | NC | Yes |
Addresses
Primary practice location
4340 Old Lexington Rd
Winston Salem, NC 27107-9408
Mailing address
4340 Old Lexington Rd
Winston Salem, NC 27107-9408
Phone (336) 650-1799
Other providers in Winston Salem, NC
- Desmond Vasquez
- Marysabel Vasquez
- Garrett Anderson Vass
- Sujethra Vasu
- Mihaela Alina Vatca
- Elizabeth Vaughan
- Stephanie Vaughan
- Margaret Elizabeth Vaughn
- Michael Brendan Vaughn
- Sydney Vaughn
All providers in Winston Salem, NC · Pharmacist 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 Dec 15, 2015. 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.