Active NPI
Patrick Wayne Ford, PHARMD
- Pharmacist
- Charlotte, NC
National Provider Identifier
1124433263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24147
- Practice address
- 7860 Rea Rd
Charlotte, NC 28277-6502 - Phone
- (704) 542-1836
- NPI assigned
- Jun 27, 2014
- 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 | 24147 | NC | Primary |
Addresses
Primary practice location
7860 Rea Rd
Charlotte, NC 28277-6502
Mailing address
928 Blue Sky Dr
Concord, NC 28027-7968
Phone (252) 412-5552
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 |
|---|---|---|---|
| 24147 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403827200000",
"number": "1124433263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "928 BLUE SKY DR",
"city": "CONCORD",
"state": "NC",
"postal_code": "280277968",
"telephone_number": "252-412-5552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7860 REA RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282776502",
"telephone_number": "704-542-1836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "PATRICK",
"middle_name": "WAYNE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-27",
"last_updated": "2014-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "24147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.