Active NPI
Nitinchandra Prabhudas Avlani, PHARMACIST
- Pharmacist
- Spring Lake, NC
National Provider Identifier
1144555004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19251
- Practice address
- 200 N Bragg Blvd
Spring Lake, NC 28390-3350 - Phone
- (910) 436-0471
- Fax
- (910) 436-3647
- NPI assigned
- Oct 12, 2009
- Last updated
- Oct 12, 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 | 19251 | NC | Primary |
Addresses
Primary practice location
200 N Bragg Blvd
Spring Lake, NC 28390-3350
Mailing address
200 N Bragg Blvd
Spring Lake, NC 28390-3350
Phone (910) 436-0471
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19251 | Other | NC | PHARMACIST |
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 |
|---|---|---|---|
| 19251 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255305600000",
"number": "1144555004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 N BRAGG BLVD",
"city": "SPRING LAKE",
"state": "NC",
"postal_code": "283903350",
"telephone_number": "910-436-0471",
"fax_number": "910-436-3647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N BRAGG BLVD",
"city": "SPRING LAKE",
"state": "NC",
"postal_code": "283903350",
"telephone_number": "910-436-0471",
"fax_number": "910-436-3647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVLANI",
"first_name": "NITINCHANDRA",
"middle_name": "PRABHUDAS",
"name_prefix": "Mr.",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-12",
"last_updated": "2009-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "19251",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST",
"identifier": "19251",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spring Lake, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.