Individual provider Active NPI

David Price, PHARMD

  • Pharmacist
  • Winston-Salem, NC
National Provider Identifier
1245510064
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
20334 Issued in NC
Practice address
193 N Summit Square Blvd
Winston-Salem, NC 27105-1476
Phone
(336) 377-3979
Fax
(336) 377-9979
NPI assigned
Aug 24, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 20334 NC Primary

Addresses

Primary practice location

193 N Summit Square Blvd
Winston-Salem, NC 27105-1476

Mailing address

193 N Summit Square Blvd
Winston-Salem, NC 27105-1476
Phone (336) 377-3979

Other identifiers 1

IdentifierTypeStateIssuer
20334OtherNCNC PHARMACY LICENSE (VERIFY @ NCBOP.ORG)

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
20334NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314144000000",
    "number": "1245510064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 N SUMMIT SQUARE BLVD",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271051476",
            "telephone_number": "336-377-3979",
            "fax_number": "336-377-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 N SUMMIT SQUARE BLVD",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271051476",
            "telephone_number": "336-377-3979",
            "fax_number": "336-377-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-24",
        "last_updated": "2011-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "20334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC PHARMACY LICENSE (VERIFY @ NCBOP.ORG)",
            "identifier": "20334",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston-Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.