Individual provider Active NPI

Patrick Parkhurst, PHARMD

  • Pharmacist
  • Matthews, NC
National Provider Identifier
1003269861
Registry record updated Sep 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
18973 Issued in NC
Practice address
15080 Idlewild Rd
Matthews, NC 28104
Phone
(704) 882-2297
Fax
(704) 882-2311
NPI assigned
Jul 18, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 18973 NC Primary

Addresses

Primary practice location

15080 Idlewild Rd
Matthews, NC 28104

Mailing address

15080 Idlewild Rd
Matthews, NC 28104-3600
Phone (704) 882-2297

Other practice location 1

6701 Morrison Blvd
Charlotte, NC 28211-5000
Phone (704) 364-9043

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
18973NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harris Teeter LLC Past Accepting new patients
Harris Teeter, LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536451200000",
    "number": "1003269861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15080 IDLEWILD RD",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281043600",
            "telephone_number": "704-882-2297",
            "fax_number": "704-882-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15080 IDLEWILD RD",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "28104",
            "telephone_number": "704-882-2297",
            "fax_number": "704-882-2311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6701 Morrison Blvd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282115000",
            "country_code": "US",
            "telephone_number": "704-364-9043",
            "fax_number": "704-362-2305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKHURST",
        "first_name": "PATRICK",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-18",
        "last_updated": "2018-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "18973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.