Provider Demographics
NPI:1386341196
Name:JONES, KEIRA (PHARMD)
Entity type:Individual
Prefix:
First Name:KEIRA
Middle Name:
Last Name:JONES
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 1:8220 SHERRILLS FORD RD
Mailing Address - Street 2:P.O. BOX 653
Mailing Address - City:SHERRILLS FORD
Mailing Address - State:NC
Mailing Address - Zip Code:28673
Mailing Address - Country:US
Mailing Address - Phone:267-320-6441
Mailing Address - Fax:
Practice Address - Street 1:533 N MAIN ST
Practice Address - Street 2:
Practice Address - City:TROUTMAN
Practice Address - State:NC
Practice Address - Zip Code:28166-8526
Practice Address - Country:US
Practice Address - Phone:704-528-0043
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-13
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC31820183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist