Active NPI
Angell Dawson
- Pharmacist
- Farmville, NC
National Provider Identifier
1083237366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16529
- Practice address
- 3754 S Main St
Farmville, NC 27828-8546 - Phone
- (252) 787-5990
- Fax
- (252) 787-5991
- NPI assigned
- May 21, 2020
- Last updated
- May 21, 2020
- Sex
- Female
- 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 | 16529 | NC | Primary |
Addresses
Primary practice location
3754 S Main St
Farmville, NC 27828-8546
Mailing address
PO Box 188
Farmville, NC 27828-0188
Phone (252) 787-5990
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | FARMVILLE | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16529 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| D and G Adventures, Inc | Current | Accepting new patients | |
| D and G Adventures, Inc | Current | Accepting new patients |
Locations
3754 South Main St
Farmville, NC 27828
Phone (252) 341-5015
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590019200000",
"number": "1083237366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 188",
"city": "FARMVILLE",
"state": "NC",
"postal_code": "278280188",
"telephone_number": "252-787-5990",
"fax_number": "252-787-5991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3754 S MAIN ST",
"city": "FARMVILLE",
"state": "NC",
"postal_code": "278288546",
"telephone_number": "252-787-5990",
"fax_number": "252-787-5991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAWSON",
"first_name": "ANGELL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-21",
"last_updated": "2020-05-21",
"certification_date": "2020-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "16529",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "FARMVILLE",
"affiliation": "N",
"endpointDescription": "pioneer",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3754 S Main St",
"city": "Farmville",
"state": "NC",
"country_code": "US",
"postal_code": "278288546",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Farmville, NC
- Robert L. Crocker, RPH
- CVS
- D and G Adventures, Inc (Pharmville Drug)
- D and G Adventures, Inc (Pharmville Drug)
- David Lauren Fitzgerald OD PA
- Douglas David Degroote, DPT
- Felisha Dixon Daniels
- Michael Benjamin Dixon, DDS
- DRS. Warren & Hardee, P.a.
- Eastern Eye Associates of Pitt-Greene, OD PA (Doctors Vision Center of Farmville)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.