Active NPI
David Ward
- Pharmacist
- Supply, NC
National Provider Identifier
1255734125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 09765
- Practice address
- 58 Physicians Dr NW Ste 5
Supply, NC 28462-4215 - Phone
- (910) 754-7200
- Fax
- (910) 754-7555
- NPI assigned
- Oct 6, 2014
- Last updated
- Oct 6, 2014
- 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 | 09765 | NC | Primary |
Addresses
Primary practice location
58 Physicians Dr NW Ste 5
Supply, NC 28462-4215
Mailing address
PO Box 769
Supply, NC 28462-0769
Phone (910) 754-7200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3405669 | Other | NCPDP | |
| 0105470 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09765 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Galloway Sands LLC | Past | Accepting new patients | |
| Galloway Sands, LLC | 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": "1412553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412553600000",
"number": "1255734125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 769",
"city": "SUPPLY",
"state": "NC",
"postal_code": "284620769",
"telephone_number": "910-754-7200",
"fax_number": "910-754-7555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 PHYSICIANS DR NW STE 5",
"city": "SUPPLY",
"state": "NC",
"postal_code": "284624215",
"telephone_number": "910-754-7200",
"fax_number": "910-754-7555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "DAVID",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-10-06",
"last_updated": "2014-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "09765",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "3405669",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0105470",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Supply, NC
- Christopher James Toussaint, MD
- Alicia Hope Tyndall, FNP-BC
- Ucb Properties LLC (Chicora Urgent Care)
- United Communities Assistance Network
- Elizaida Velez-Olan, LCSW
- Savannah Parker Ward, FNP
- Audrey Mavis Watson, PA-C
- Katherine Singletary Watts, COTA/L
- Rachel Weiss, LCSWA
- Well Care Home Health of Brunswickco, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.