Basic Information
Provider Information
NPI: 1801279757
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHOENBORN
FirstName: ERIKA
MiddleName: MICHELLE
NamePrefix: DR.
NameSuffix:  
Credential: PHARMD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1516 MALLARD TRCE
Address2:  
City: WENDELL
State: NC
PostalCode: 275914417
CountryCode: US
TelephoneNumber: 3523761611
FaxNumber:  
Practice Location
Address1: 2100 STANTONSBURG RD
Address2:  
City: GREENVILLE
State: NC
PostalCode: 278342818
CountryCode: US
TelephoneNumber: 2528160503
FaxNumber: 2528471383
Other Information
ProviderEnumerationDate: 07/09/2015
LastUpdateDate: 04/21/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/21/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
1835P0018X26839NCY193200000X MULTI-SPECIALTY GROUPPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

No ID Information.


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