Active NPI
Justin Spivey
- Pharmacotherapy Pharmacist
- Clarendon, NC
National Provider Identifier
1154737518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 22584
- Practice address
- 171 Sidney Cherry Grove Rd
Clarendon, NC 28432-9375 - Phone
- (910) 625-6459
- NPI assigned
- Jul 7, 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 22584 | NC | Primary |
Addresses
Primary practice location
171 Sidney Cherry Grove Rd
Clarendon, NC 28432-9375
Mailing address
171 Sidney Cherry Grove Rd
Clarendon, NC 28432-9375
Phone (910) 625-6459
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 |
|---|---|---|---|
| 22584 | NC | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404691200000",
"number": "1154737518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 SIDNEY CHERRY GROVE RD",
"city": "CLARENDON",
"state": "NC",
"postal_code": "284329375",
"telephone_number": "910-625-6459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 SIDNEY CHERRY GROVE RD",
"city": "CLARENDON",
"state": "NC",
"postal_code": "284329375",
"telephone_number": "910-625-6459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPIVEY",
"first_name": "JUSTIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-07",
"last_updated": "2014-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "NC",
"license": "22584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarendon, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.