Provider Demographics
NPI:1174830061
Name:NEWKIRK, CATHERINE B (RPH, BS, BA)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:B
Last Name:NEWKIRK
Suffix:
Gender:F
Credentials:RPH, BS, BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:237 WASHINGTON CIR
Mailing Address - Street 2:
Mailing Address - City:WALLACE
Mailing Address - State:NC
Mailing Address - Zip Code:28466-1557
Mailing Address - Country:US
Mailing Address - Phone:910-285-8831
Mailing Address - Fax:910-285-8149
Practice Address - Street 1:1224 N NORWOOD ST STE 12
Practice Address - Street 2:
Practice Address - City:WALLACE
Practice Address - State:NC
Practice Address - Zip Code:28466-1365
Practice Address - Country:US
Practice Address - Phone:910-285-5787
Practice Address - Fax:910-285-8022
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-13
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC131061835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0315184Medicaid