Provider Demographics
NPI:1285916064
Name:LONES, JODIE LYNN (RPH)
Entity type:Individual
Prefix:
First Name:JODIE
Middle Name:LYNN
Last Name:LONES
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:JODIE
Other - Middle Name:LYNN
Other - Last Name:HILLARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2001 NEUSE BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28560-3470
Mailing Address - Country:US
Mailing Address - Phone:252-672-8365
Mailing Address - Fax:252-672-8368
Practice Address - Street 1:2001 NEUSE BLVD
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28560-3470
Practice Address - Country:US
Practice Address - Phone:252-672-8365
Practice Address - Fax:252-672-8368
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-16
Last Update Date:2016-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03124227183500000X
NC24955183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist