Active NPI
Garrett William Justice
- Pharmacist
- Matthews, NC
National Provider Identifier
1174827620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19911
- Practice address
- 1220 Matthews Township Pkwy
Matthews, NC 28105-0218 - Phone
- (704) 814-9487
- NPI assigned
- Dec 27, 2010
- 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 | 19911 | NC | Primary |
Addresses
Primary practice location
1220 Matthews Township Pkwy
Matthews, NC 28105-0218
Mailing address
4701 South Blvd
Charlotte, NC 28217-2117
Phone (704) 523-3227
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 |
|---|---|---|---|
| 19911 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 3
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373241600000",
"number": "1174827620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4701 SOUTH BLVD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282172117",
"telephone_number": "704-523-3227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 MATTHEWS TOWNSHIP PKWY",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281050218",
"telephone_number": "704-814-9487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUSTICE",
"first_name": "GARRETT",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-12-27",
"last_updated": "2013-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "19911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Matthews, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.