Active NPI
Lindsay Fisher Dearie, PHARMD
- Pharmacist
- Mount Olive, NC
National Provider Identifier
1225346240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20486
- Practice address
- 615 N Breazeale Ave
Mount Olive, NC 28365-1203 - Phone
- (919) 658-8660
- Fax
- (919) 658-8630
- NPI assigned
- Sep 24, 2010
- Last updated
- Feb 16, 2019
- Sex
- Female
- 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 | 20486 | NC | Primary |
Addresses
Primary practice location
615 N Breazeale Ave
Mount Olive, NC 28365-1203
Mailing address
615 N Breazeale Ave
Mount Olive, NC 28365-1203
Phone (919) 658-8660
Other practice location 1
9810 Ocean Hwy W
Calabash, NC 28467-2633
Phone (910) 579-1050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0965674 | Medicaid | NC |
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 |
|---|---|---|---|
| 20486 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina CVS Pharmacy LLC | Past | Accepting new patients | |
| North Carolina CVS Pharmacy LLC | Past | Accepting new patients | |
| Crescent Foods, Inc. | Past | Accepting new patients | |
| Crescent Foods, Inc. | Past | Accepting new patients |
Organizations & group practices 4
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": "1285286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550275200000",
"number": "1225346240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 N BREAZEALE AVE",
"city": "MOUNT OLIVE",
"state": "NC",
"postal_code": "283651203",
"telephone_number": "919-658-8660",
"fax_number": "919-658-8630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 N BREAZEALE AVE",
"city": "MOUNT OLIVE",
"state": "NC",
"postal_code": "283651203",
"telephone_number": "919-658-8660",
"fax_number": "919-658-8630"
}
],
"practiceLocations": [
{
"address_1": "9810 Ocean Hwy W",
"address_purpose": "LOCATION",
"city": "Calabash",
"state": "NC",
"postal_code": "284672633",
"country_code": "US",
"telephone_number": "910-579-1050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEARIE",
"first_name": "LINDSAY",
"middle_name": "FISHER",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-24",
"last_updated": "2019-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "20486",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0965674",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mount Olive, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.