Active NPI
Randolph Fletcher Spainhour, RPH
- Pharmacist
- Burgaw, NC
National Provider Identifier
1144461302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 06300
- Practice address
- 111 S. Wright St.
Burgaw, NC 28425-0427 - Phone
- (910) 259-7080
- Fax
- (910) 259-7788
- NPI assigned
- Mar 18, 2009
- 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 | 06300 | NC | Primary |
Addresses
Primary practice location
111 S. Wright St.
Burgaw, NC 28425-0427
Mailing address
116 E Main St
Wallace, NC 28466-2720
Phone (910) 285-2937
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 |
|---|---|---|---|
| 06300 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilson Family Pharmacies Inc | Past | Accepting new patients |
Organizations & group practices 1
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": "1237334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291248000000",
"number": "1144461302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 E MAIN ST",
"city": "WALLACE",
"state": "NC",
"postal_code": "284662720",
"telephone_number": "910-285-2937",
"fax_number": "910-285-8550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S. WRIGHT ST.",
"city": "BURGAW",
"state": "NC",
"postal_code": "284250427",
"telephone_number": "910-259-7080",
"fax_number": "910-259-7788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPAINHOUR",
"first_name": "RANDOLPH",
"middle_name": "FLETCHER",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-18",
"last_updated": "2010-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "06300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burgaw, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.