Rodney Antonius Mckoy
Community Health Worker in Winston Salem, NC. Individual provider (NPI-1).
NPI number1689544827
StatusActive
Last updated in NPPESNov 12, 2025
Details
- NPI
- 1689544827
- Entity type
- Individual (NPI-1)
- Name
- Mr. Rodney Antonius Mckoy
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 11, 2025
- Certification date
- Nov 12, 2025
- Last updated
- Nov 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | 1972478592 | NC | Yes |
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | 1972478592 | NC |
Practice location
3101 Butterfield DrWinston Salem, NC 27105-3940
Phone 336-986-5896
Mailing address
3101 Butterfield DrWinston Salem, NC 27105-3940
Phone 336-986-5896
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