Active NPI
Jerry R Gravitt, PHARM D
- Pharmacist
- Smithfield, NC
National Provider Identifier
1043731367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23524
- Practice address
- 1180 N Brightleaf Blvd
Smithfield, NC 27577-4228 - Phone
- (919) 938-0591
- NPI assigned
- Jun 28, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 23524 | NC | Primary |
Addresses
Primary practice location
1180 N Brightleaf Blvd
Smithfield, NC 27577-4228
Mailing address
1915 Davis Rd Unit C
Hillsborough, NC 27278-7677
Phone (919) 801-8251
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
| License | State | Type | Specialty |
|---|---|---|---|
| 23524 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498608000000",
"number": "1043731367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1915 DAVIS RD UNIT C",
"city": "HILLSBOROUGH",
"state": "NC",
"postal_code": "272787677",
"telephone_number": "919-801-8251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1180 N BRIGHTLEAF BLVD",
"city": "SMITHFIELD",
"state": "NC",
"postal_code": "275774228",
"telephone_number": "919-938-0591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAVITT",
"first_name": "JERRY",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-28",
"last_updated": "2017-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "23524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smithfield, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.