Individual provider Active NPI

Jennifer Alphin Sutton

  • Pharmacist
  • Goldsboro, NC
National Provider Identifier
1154600252
Registry record updated Aug 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
16887 Issued in NC
Practice address
223 NC 111 Hwy S
Goldsboro, NC 27534-9253
Phone
(919) 778-1110
Fax
(919) 778-1038
NPI assigned
Aug 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 16887 NC Primary

Addresses

Primary practice location

223 NC 111 Hwy S
Goldsboro, NC 27534-9253

Mailing address

223 NC 111 Hwy S
Goldsboro, NC 27534-9253
Phone (919) 778-1110

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

LicenseStateTypeSpecialty
16887NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312761600000",
    "number": "1154600252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 NC 111 HWY S",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349253",
            "telephone_number": "919-778-1110",
            "fax_number": "919-778-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 NC 111 HWY S",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349253",
            "telephone_number": "919-778-1110",
            "fax_number": "919-778-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "JENNIFER",
        "middle_name": "ALPHIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-08",
        "last_updated": "2011-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "16887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; 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.