Active NPI
Ian Michael Caudle, RPH
- Pharmacist
- Highlands, NC
National Provider Identifier
1114519998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 30215
- Practice address
- 190 Hospital Dr
Highlands, NC 28741-7600 - Phone
- (336) 214-4207
- NPI assigned
- Feb 3, 2021
- Last updated
- Jul 7, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 30215 | NC | Primary |
Addresses
Primary practice location
190 Hospital Dr
Highlands, NC 28741-7600
Mailing address
190 Hospital Dr
Highlands, NC 28741-7600
Phone (828) 526-1463
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 |
|---|---|---|---|
| 30215 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657152000000",
"number": "1114519998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 HOSPITAL DR",
"city": "HIGHLANDS",
"state": "NC",
"postal_code": "287417600",
"telephone_number": "828-526-1463",
"fax_number": "828-526-1472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 HOSPITAL DR",
"city": "HIGHLANDS",
"state": "NC",
"postal_code": "287417600",
"telephone_number": "336-214-4207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAUDLE",
"first_name": "IAN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-02-03",
"last_updated": "2022-07-07",
"certification_date": "2022-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "30215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Highlands, NC
- Robert T Buchanan, M.D.
- Sherry Sue Burkett, DNP, APRN, AGPCNP-BC
- C Willis Sherrer, MD PC
- Paul Squire Cabiran, M.D.
- Julie Lankford Carpenter, APN
- Comprehensive Pain Consultants of the Carolinas PLLC (Comprehensive Pain Consultants of the Carolinas)
- Carl Curtiss, MD
- Robert Carter Davis, MD
- Olivia Douglas
- Sean William Dozier, PHARM.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.