Provider Demographics
NPI:1922445618
Name:NEWMAN, LINDA ANNE (RPH)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:ANNE
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 TURTLE POINT RD
Mailing Address - Street 2:
Mailing Address - City:PINEHURST
Mailing Address - State:NC
Mailing Address - Zip Code:28374-9520
Mailing Address - Country:US
Mailing Address - Phone:301-219-9790
Mailing Address - Fax:
Practice Address - Street 1:400 MILLCREEK RD
Practice Address - Street 2:HARRIS TEETER #212
Practice Address - City:CARTHAGE
Practice Address - State:NC
Practice Address - Zip Code:28327
Practice Address - Country:US
Practice Address - Phone:910-246-0714
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-04
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC21310183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0635791Medicaid