Individual provider Active NPI

Charles Vondrea Vawters, PHARMD

  • Pharmacist
  • Gadsden, AL
National Provider Identifier
1124622410
Registry record updated Nov 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
20498 Issued in AL
Practice address
806 Hoke St
Gadsden, AL 35903-1810
Phone
(256) 492-4807
NPI assigned
Nov 26, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 20498 AL Primary

Addresses

Primary practice location

806 Hoke St
Gadsden, AL 35903-1810

Mailing address

915 Hawthorn LN
Odenville, AL 35120-2909

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

LicenseStateTypeSpecialty
20498ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama CVS Pharmacy, L.L.C. CurrentSince Mar 3, 2024 Accepting new patients
Alabama CVS Pharmacy LLC PastSince Nov 29, 2020 Accepting new patients

Locations

806 Hoke St
Gadsden, AL 35903
Phone (256) 390-0861

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606348800000",
    "number": "1124622410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 HAWTHORN LN",
            "city": "ODENVILLE",
            "state": "AL",
            "postal_code": "351202909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 HOKE ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031810",
            "telephone_number": "256-492-4807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAWTERS",
        "first_name": "CHARLES",
        "middle_name": "VONDREA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-26",
        "last_updated": "2020-11-26",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "20498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.

Verify at the official NPI Registry.