Active NPI
Magen Marie Waldrep, PHARM.D.
- Pharmacist
- Sneads Ferry, NC
National Provider Identifier
1972096154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 27642
- Practice address
- 1309 NC Highway 210
Sneads Ferry, NC 28460-9144 - Phone
- (910) 327-2052
- NPI assigned
- Jun 12, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 27642 | NC | Primary |
Addresses
Primary practice location
1309 NC Highway 210
Sneads Ferry, NC 28460-9144
Mailing address
207 Albacore CT
Hubert, NC 28539-1001
Phone (478) 279-2206
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
| License | State | Type | Specialty |
|---|---|---|---|
| 27642 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Carolina CVS Pharmacy LLC | Past | Accepting new patients | |
| North Carolina CVS Pharmacy 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 and National Provider Directory roles.
-
- Pharmacy
- Southern Pines, NC
- NPI 1538999107
-
- Pharmacy
- Anderson, SC
- NPI 1114020971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528761600000",
"number": "1972096154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 ALBACORE CT",
"city": "HUBERT",
"state": "NC",
"postal_code": "285391001",
"telephone_number": "478-279-2206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1309 NC HIGHWAY 210",
"city": "SNEADS FERRY",
"state": "NC",
"postal_code": "284609144",
"telephone_number": "910-327-2052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDREP",
"first_name": "MAGEN",
"middle_name": "MARIE",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-12",
"last_updated": "2018-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "27642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sneads Ferry, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.