Jeremy Wayne Barefoot, PHARMD
Individual provider
Active NPI
Pharmacist · Clinton, NC
NPI 1851997068 · NPPES record last updated Dec 11, 2020
Key facts
- NPI
- 1851997068
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 29956 (NC)
- Practice address
- 601 College St
Clinton, NC 28328-3501
- Phone
- (910) 592-4058
- NPI assigned
- Dec 11, 2020
- Sex
- Male
- Sole proprietor
- No
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.
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|
| 29956 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|
| Walgreen Co |
|
Past
since Dec 13, 2020 |
Accepting new patients |
| Walgreen Co |
|
Past
since Dec 13, 2020 |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|
| Pharmacist |
183500000X |
29956 |
NC |
Yes |
Addresses
Primary practice location
601 College St
Clinton, NC 28328-3501
Mailing address
101 E J St
Erwin, NC 28339-1509
Phone (910) 818-5928
Other identifiers
| Identifier | Type | State | Issuer |
|---|
| 29956 | Other | NC | NCBOP LICENSE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|
| Direct Messaging Address |
rxm.09462@store.walgreens.com |
|
|
Other providers in Clinton, NC
- Jeffrey Wayne Autry, FNP
- Lauren Elaine Aves, CPNP-PC
- Danny Wayne Aycock, RPH
- Leah Palmer Aycock, PT, DPT
- Melanie Barber, PHARM.D
- Teresa Edwards Barnes, RN
- Kari Leanne Barnett, NP
- Robert Thomas Barowsky, MD
- Falvy Carl Barr Jr., MD
- Sophie McMillan Scott Barrett, DO
All providers in Clinton, NC
· Pharmacist in North Carolina