Active NPI
Mary Ashton Gore, PHARMD
- Pharmacist
- Whiteville, NC
National Provider Identifier
1205383973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26105
- Practice address
- 200 Columbus Corners Dr
Whiteville, NC 28472-4905 - Phone
- (910) 640-0900
- Fax
- (910) 640-0897
- NPI assigned
- Sep 9, 2016
- Last updated
- Oct 23, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 26105 | NC | Primary |
Addresses
Primary practice location
200 Columbus Corners Dr
Whiteville, NC 28472-4905
Mailing address
202 Maple St
Whiteville, NC 28472-2210
Phone (910) 207-1922
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26105 | NC | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729641600000",
"number": "1205383973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 MAPLE ST",
"city": "WHITEVILLE",
"state": "NC",
"postal_code": "284722210",
"telephone_number": "910-207-1922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 COLUMBUS CORNERS DR",
"city": "WHITEVILLE",
"state": "NC",
"postal_code": "284724905",
"telephone_number": "910-640-0900",
"fax_number": "910-640-0897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORE",
"first_name": "MARY",
"middle_name": "ASHTON",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-09",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "26105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whiteville, NC
- Juan Eugenio Todd Mendoza Gonzalez, MD
- Olivia Marie Goodnight, PA-C
- Anna Gore, MS, RD, LDN
- Anteja Gore
- Emily Janelle Gore, PTA
- Sarah Marie Gore, DO
- Goshen Medical Center Incorporated (GMC Pharmacy at Whiteville Town Center)
- Goshen Medical Center Incorporated (Goshen Medical Center-Whiteville Mobile Unit)
- Goshen Medical Center, Incorporated
- Goshen Medical Center, Incorporated (Goshen Medical Center - Columbus Pediatrics)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.