Basic Information
Provider Information
NPI: 1073139861
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SHERWIN
FirstName: ERIN
MiddleName: HOPE
NamePrefix: DR.
NameSuffix:  
Credential: PHARMD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1625 S 17TH ST APT 404
Address2:  
City: WILMINGTON
State: NC
PostalCode: 284016574
CountryCode: US
TelephoneNumber: 9018964012
FaxNumber:  
Practice Location
Address1: 2523 DELANEY AVE
Address2:  
City: WILMINGTON
State: NC
PostalCode: 284036003
CountryCode: US
TelephoneNumber: 9107635522
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/17/2020
LastUpdateDate: 08/19/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/17/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1835P2201X022071KYN    
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
1835P2201X31224NCY    
183500000X44197TNN Pharmacy Service ProvidersPharmacist 

No ID Information.


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