Active NPI
Cape Fear Valley Medical Center
- Pharmacist
- Fayetteville, NC
National Provider Identifier
1003282575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 25509
- Legal business name
- CAPE FEAR VALLEY MEDICAL CENTER
- Practice address
- 1638 Owen Dr
Fayetteville, NC 28304-3424 - Phone
- (910) 615-7968
- NPI assigned
- Aug 19, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Miller, PHARMD
- Title
- Residency Program Director
- Phone
- (910) 678-7302
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 25509 | NC | Primary |
Addresses
Primary practice location
1638 Owen Dr
Fayetteville, NC 28304-3424
Mailing address
1638 Owen Dr
Fayetteville, NC 28304-3424
National Provider Directory
National Provider Directory- Tax ID family
- Cumberland County EMS
Other organizations with this tax ID 49
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-
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-
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-
- Surgery Physician
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-
- Nurse Practitioner
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-
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-
- Infusion Therapy Clinic/Center
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-
- Pulmonary Disease Physician
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-
- Hematology & Oncology Physician
- Fayetteville, NC
- NPI 1245661701
-
- Internal Medicine Physician
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-
- Family Medicine Physician
- Fayetteville, NC
- NPI 1245999648
-
- Specialty Pharmacy
- Fayetteville, NC
- NPI 1255090619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439942400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1439942400000",
"number": "1003282575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1638 OWEN DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1638 OWEN DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043424",
"telephone_number": "910-615-7968"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAPE FEAR VALLEY MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-19",
"last_updated": "2015-08-19",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "RESIDENCY PROGRAM DIRECTOR",
"authorized_official_telephone_number": "910-678-7302",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "NC",
"license": "25509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
- Cape Fear Valley Health Medical Group LLC
- Cape Fear Valley Health Medical Group LLC
- Cape Fear Valley Health Medical Group LLC
- Cape Fear Valley Homecare and Hospice, LLC
- Cape Fear Valley Homecare and Hospice, LLC
- Andrea Capitolo, LCMHCA
- Marissa Capps
- Janet Cardassi, MA, LPA, LCAS
- Maranda Carden
- Cardinal Clinic L.L.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.