Active NPI
Cordelia O Emebo
- Pharmacist
- Clayton, NC
National Provider Identifier
1245733971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26495
- Practice address
- 11360 Old US Hwy 70 West
Clayton, NC 27520 - Phone
- (919) 553-0144
- NPI assigned
- Mar 8, 2018
- 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 | 26495 | NC | Primary |
Addresses
Primary practice location
11360 Old US Hwy 70 West
Clayton, NC 27520
Mailing address
11360 Old US Hwy 70 West
Clayton, NC 27520
Phone (919) 553-0144
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 |
|---|---|---|---|
| 26495 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edc Drug Stores Inc | Past | Accepting new patients | |
| Edc Drug Stores | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Jacksonville, NC
- NPI 1992804116
-
- Community/Retail Pharmacy
- Clayton, NC
- NPI 1790884914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520467200000",
"number": "1245733971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11360 OLD US HWY 70 WEST",
"city": "CLAYTON",
"state": "NC",
"postal_code": "27520",
"telephone_number": "919-553-0144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11360 OLD US HWY 70 WEST",
"city": "CLAYTON",
"state": "NC",
"postal_code": "27520",
"telephone_number": "919-553-0144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMEBO",
"first_name": "CORDELIA",
"middle_name": "O",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-08",
"last_updated": "2018-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "26495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clayton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.