Individual provider Active NPI

Bennett Charles Noell, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Charlotte, NC
National Provider Identifier
1225376619
Registry record updated Dec 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
21784 Issued in NC
Practice address
1025 Morehead Medical Dr Ste 600
Charlotte, NC 28204-2969
Phone
(704) 446-4844
Fax
(704) 446-4875
NPI assigned
Jan 21, 2013
Last updated
Dec 8, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 20981 MD
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 21784 NC Primary

Addresses

Primary practice location

1025 Morehead Medical Dr Ste 600
Charlotte, NC 28204-2969

Mailing address

1025 Morehead Medical Dr Ste 600
Charlotte, NC 28204-2969
Phone (704) 446-4844

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

LicenseStateTypeSpecialty
20981MDMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1358726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417996800000",
    "number": "1225376619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 MOREHEAD MEDICAL DR STE 600",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042969",
            "telephone_number": "704-446-4844",
            "fax_number": "704-446-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 MOREHEAD MEDICAL DR STE 600",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042969",
            "telephone_number": "704-446-4844",
            "fax_number": "704-446-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOELL",
        "first_name": "BENNETT",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-21",
        "last_updated": "2014-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MD",
            "license": "20981",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NC",
            "license": "21784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; 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.