Active NPI
John Wilson Caldwell III, PHARMACIST
- Pharmacist
- Conover, NC
National Provider Identifier
1205130671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6177
- Practice address
- 102 Rock Barn Rd NE
Conover, NC 28613-9727 - Phone
- (828) 465-0301
- NPI assigned
- Dec 29, 2010
- Last updated
- Dec 29, 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 | 6177 | NC | Primary |
Addresses
Primary practice location
102 Rock Barn Rd NE
Conover, NC 28613-9727
Mailing address
102 Rock Barn Rd NE
Conover, NC 28613-9727
Phone (828) 465-0301
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 |
|---|---|---|---|
| 6177 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293580800000",
"number": "1205130671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 ROCK BARN RD NE",
"city": "CONOVER",
"state": "NC",
"postal_code": "286139727",
"telephone_number": "828-465-0301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 ROCK BARN RD NE",
"city": "CONOVER",
"state": "NC",
"postal_code": "286139727",
"telephone_number": "828-465-0301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDWELL",
"first_name": "JOHN",
"middle_name": "WILSON",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-12-29",
"last_updated": "2010-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "6177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conover, NC
- Norris Franklin Buff, RPH
- David Watkins Burke, COT
- Jessica Burton, FNP-BC
- Luke Byrnes, M.D.
- Cabral Internal Medicine PLLC
- Rachele Jean Caputo, LCMHC
- Tori Monique Carlton, LCSWA
- Christina Marie Carr, PA-C
- Catawba Surgical Associates PA
- Catawba Valley Medical Group Inc (Catawba Valley Family Medicine- Conover)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.