Active NPI
Jessica Wine
- Pharmacist
- Smithfield, NC
National Provider Identifier
1881244309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28470
- Practice address
- 424 N Brightleaf Blvd
Smithfield, NC 27577-4674 - Phone
- (919) 989-4058
- NPI assigned
- Sep 17, 2019
- 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 | 28470 | NC | Primary |
Addresses
Primary practice location
424 N Brightleaf Blvd
Smithfield, NC 27577-4674
Mailing address
3701 Ashbrook Dr NW Apt 301
Wilson, NC 27896-7624
Phone (910) 736-6895
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28470 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568678400000",
"number": "1881244309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 ASHBROOK DR NW APT 301",
"city": "WILSON",
"state": "NC",
"postal_code": "278967624",
"telephone_number": "910-736-6895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "424 N BRIGHTLEAF BLVD",
"city": "SMITHFIELD",
"state": "NC",
"postal_code": "275774674",
"telephone_number": "919-989-4058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINE",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-17",
"last_updated": "2019-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "28470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smithfield, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.