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
- 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Farmville, NC
- NPI 1518503069
-
- Long Term Care Pharmacy
- Farmville, NC
- NPI 1730993916
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
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.