Active NPI
Kimberly Bonda Sayaseng, RPH
- Pharmacist
- Rocky Mount, NC
National Provider Identifier
1851690366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12539
- Practice address
- 800 Raleigh Rd
Rocky Mount, NC 27803-2622 - Phone
- (252) 446-0391
- Fax
- (252) 985-2350
- NPI assigned
- Mar 23, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 12539 | NC | Primary |
Addresses
Primary practice location
800 Raleigh Rd
Rocky Mount, NC 27803-2622
Mailing address
3612 Kemble Ridge Dr
Wake Forest, NC 27587-4865
Phone (919) 556-8974
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12539 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edc Drug Stores | Past | Accepting new patients | |
| Edc Drug Stores Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Jacksonville, NC
- NPI 1992804116
-
- Community/Retail Pharmacy
- Rocky Mount, NC
- NPI 1083713283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300838400000",
"number": "1851690366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3612 KEMBLE RIDGE DR",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275874865",
"telephone_number": "919-556-8974",
"fax_number": "252-985-2350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 RALEIGH RD",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278032622",
"telephone_number": "252-446-0391",
"fax_number": "252-985-2350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAYASENG",
"first_name": "KIMBERLY",
"middle_name": "BONDA",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-23",
"last_updated": "2011-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "12539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rocky Mount, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.