Provider Demographics
NPI:1639632748
Name:SPAULDING, KAIONA SHA'BRITNI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KAIONA
Middle Name:SHA'BRITNI
Last Name:SPAULDING
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3269 SADDLETREE RD
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28360-2516
Mailing Address - Country:US
Mailing Address - Phone:910-874-5074
Mailing Address - Fax:
Practice Address - Street 1:1050 S HORNER BLVD
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27330-5323
Practice Address - Country:US
Practice Address - Phone:919-776-2727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-08
Last Update Date:2019-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC28484183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist