Active NPI
Stephen Matthew Dunham, PHARMD
- Pharmacist
- Thomasville, NC
National Provider Identifier
1255668612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18291
- Practice address
- 1015 Randolph St
Thomasville, NC 27360-5876 - Phone
- (336) 474-6936
- Fax
- (336) 474-6945
- NPI assigned
- Nov 5, 2009
- Last updated
- Nov 5, 2009
- Sex
- Male
- 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 | 18291 | NC | Primary |
Addresses
Primary practice location
1015 Randolph St
Thomasville, NC 27360-5876
Mailing address
186 Bent Oak Dr
Winston Salem, NC 27107-5003
Phone (336) 775-2243
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 |
|---|---|---|---|
| 18291 | NC | MD | Pharmacist |
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": "1257379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257379200000",
"number": "1255668612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "186 BENT OAK DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271075003",
"telephone_number": "336-775-2243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 RANDOLPH ST",
"city": "THOMASVILLE",
"state": "NC",
"postal_code": "273605876",
"telephone_number": "336-474-6936",
"fax_number": "336-474-6945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNHAM",
"first_name": "STEPHEN",
"middle_name": "MATTHEW",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-11-05",
"last_updated": "2009-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "18291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thomasville, NC
- Carissa Marie Doody
- Phillip K Dorton, M.D.
- Brittany Dowdy
- David Alan Dudleck
- Elizabeth Ann Duffy, AGNP
- East Carolina University (East Carolina University School of Dental Medicine)
- Eckerd Corporation (Rite Aid Pharmacy 11344)
- Edc Drug Stores (Rite Aid Pharmacy 11345)
- Donnay Hall Elkins, FNP-C
- Timothy Edward Ellis, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.