Individual provider Active NPI

Bridget Scarboro Cusumano, PHARMD

  • Pharmacist
  • Wake Forest, NC
National Provider Identifier
1861677304
Registry record updated Jan 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
18983 Issued in NC
Practice address
900 S Franklin St Ste 102
Wake Forest, NC 27587-2797
Phone
(919) 556-2757
Fax
(919) 556-2757
NPI assigned
Jan 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 18983 NC Primary

Addresses

Primary practice location

900 S Franklin St Ste 102
Wake Forest, NC 27587-2797

Mailing address

900 S Franklin St Ste 102
Wake Forest, NC 27587-2797
Phone (919) 556-2757

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
18983NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Village Pharmacy of Wake Forest LLC Past Accepting new patients
Village Pharmacy of Wake Forest, LLC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262563200000",
    "number": "1861677304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S FRANKLIN ST STE 102",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275872797",
            "telephone_number": "919-556-2757",
            "fax_number": "919-556-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S FRANKLIN ST STE 102",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275872797",
            "telephone_number": "919-556-2757",
            "fax_number": "919-556-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSUMANO",
        "first_name": "BRIDGET",
        "middle_name": "SCARBORO",
        "name_prefix": "Mrs.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-03",
        "last_updated": "2010-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "18983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.

Verify at the official NPI Registry.