The Shalom Project, Inc

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

Legal business name

THE SHALOM PROJECT, INC

Doing business as

The Shalom Project Pharmacy

Practice address

3185 Maplewood Ave
Winston Salem, NC 27103-3903

Phone

(919) 451-0097

NPI assigned

Jun 8, 2023

Last updated

Jun 13, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

THE SHALOM PROJECT, INCAs reported in NPPES

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

Authorized official

Name

Dr. Tracy Loggin Yehle, PHARMDNPI 1871740399

Title

Pharmacist Manager

Phone

(919) 451-0097

Specialties & licenses 1

Addresses

Other names 1

• The Shalom Project Pharmacy Doing business as

Tax ID family

The Shalom Project Inc2 organizations share this tax ID, including this one

Part of

The Shalom Project Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Shalom Project, Inc.

  dba The Shalon Project Medical Clinic

  • Community Health Clinic/Center
  • Winston Salem, NC
  • NPI 1558104505
  NPD tax ID

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17957/brand/1/csg/1/fhir/r4

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• The Shalom Project, Inc.

  dba The Shalon Project Medical Clinic

  • Community Health Clinic/Center
  • Winston Salem, NC
  • NPI 1558104505
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tracy Loggins Yehle, RPH

  • Pharmacist
  • Raleigh, NC
  • NPI 1871740399
  NPD Authorized official

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1831883081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 S GREEN ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271015109",
            "telephone_number": "919-451-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3185 MAPLEWOOD AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033903",
            "telephone_number": "919-451-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SHALOM PROJECT, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE SHALOM PROJECT, INC",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "YEHLE",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "LOGGIN",
        "authorized_official_title_or_position": "PHARMACIST MANAGER",
        "authorized_official_telephone_number": "919-451-0097",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Shalom Project Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Neil Group, Inc
• The Rehabilitation and Skilled Nursing Facility at Oak Summit
• The Rehabilitation and Skilled Nursing Facility at Oak Summit
• The S.P.I.N. Project
• The Sage Institute
• The Shalom Project, Inc. (The Shalon Project Medical Clinic)
• The Shepherd's House for Services to the Community (The Shepherd's House)
• The Special Children's School, Inc
• The Special Childrens School
• The Urban Gent Initiative

• Clinic Pharmacy in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Clinic Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.