Active NPI
Barry William Southern, R.PH.
- Pharmacist
- Greensboro, NC
National Provider Identifier
1063744902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 08156
- Practice address
- 422 Gallimore Dairy Rd
Suite a
Greensboro, NC 27409-9725 - Phone
- (336) 393-0555
- Fax
- (901) 435-4592
- NPI assigned
- Feb 3, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 08156 | NC | Primary |
| Pharmacist | 183500000X | 13022 | TN |
Addresses
Primary practice location
422 Gallimore Dairy Rd
Suite a
Greensboro, NC 27409-9725
Mailing address
3705 Middlebury Way
Greensboro, NC 27410-8688
Phone (336) 288-0025
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08156 | NC | MD | Pharmacist |
| 13022 | TN | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265155200000",
"number": "1063744902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3705 MIDDLEBURY WAY",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274108688",
"telephone_number": "336-288-0025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "422 GALLIMORE DAIRY RD",
"address_2": "SUITE A",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274099725",
"telephone_number": "336-393-0555",
"fax_number": "901-435-4592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUTHERN",
"first_name": "BARRY",
"middle_name": "WILLIAM",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-03",
"last_updated": "2010-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "08156",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "13022",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.