Individual provider Active NPI

Emilie Spillman, PHARMD

  • Pharmacist
  • Charlotte, NC
National Provider Identifier
1154763472
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
24617 Issued in NC
Practice address
4821 Berewick Town Center Dr
Charlotte, NC 28278-6762
Phone
(704) 587-1011
NPI assigned
Jul 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 13609 OR
Pharmacist 183500000X 41904 SC
Pharmacist 183500000X 24617 NC Primary

Addresses

Primary practice location

4821 Berewick Town Center Dr
Charlotte, NC 28278-6762

Mailing address

4821 Berewick Town Center Dr
Charlotte, NC 28278-6762
Phone (704) 587-1011

Other names 1

  • Emilie Friesen Former name

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
24617NCMDPharmacist
41904SCMDPharmacist
13609ORMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1374969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1154763472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4821 BEREWICK TOWN CENTER DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282786762",
            "telephone_number": "704-587-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4821 BEREWICK TOWN CENTER DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282786762",
            "telephone_number": "704-587-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPILLMAN",
        "first_name": "EMILIE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-28",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "13609",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "41904",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "24617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILIE",
            "last_name": "FRIESEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.