Alton Paul Gravitte, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

4991 Issued in NC

Practice address

114 E Lebanon St
Mount Airy, NC 27030-3662

Phone

(336) 786-2177

Fax

(336) 786-1556

NPI assigned

Oct 7, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Eckerd Corporation

  • Community/Retail Pharmacy
  • Mount Airy, NC
  • NPI 1336248525
  NPD (past)
• Eckerd Corporation

  • Community/Retail Pharmacy
  • Virginia Beach, VA
  • NPI 1982703120
  NPD (past)

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286409600000",
    "number": "1164732269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 E LEBANON ST",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270303662",
            "telephone_number": "336-786-2177",
            "fax_number": "336-786-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E LEBANON ST",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270303662",
            "telephone_number": "336-786-2177",
            "fax_number": "336-786-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVITTE",
        "first_name": "ALTON",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-07",
        "last_updated": "2010-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "4991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NC0865492",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gracie George
• Richard Wayne Gilreath, DDS
• Karin Frances Giordano, M.D.
• Kenneth D Gitt, MD
• Katlin Isaacs Goin
• John L. Gravitte, D.D.S.
• Mandy W Gravitte, LCSW, LCAS-A
• Greensboro Pathology, LLC
• Henry Frederick Gregor, M.D.
• Mallory Williams Grose, ANP-C

• Pharmacist in Mount Airy, NC
• Providers in Mount Airy, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.

Verify at the official NPI Registry.