Robert Philip Ford
Individual provider Active NPI Pharmacist · Swansboro, NC
NPI 1255816237 · NPPES record last updated Oct 29, 2024
Key facts
- NPI
- 1255816237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 27833 (NC)
- Practice address
- 1109 W Corbett Ave
Swansboro, NC 28584-8461 - Phone
- (910) 708-5012
- NPI assigned
- Sep 26, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27833 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East LP | Past |
Accepting new patients | |
| Wal-Mart Stores East, LP | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 27833 | NC | Yes |
Addresses
Primary practice location
1109 W Corbett Ave
Swansboro, NC 28584-8461
Mailing address
1109 W Corbett Ave
Swansboro, NC 28584-8461
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27833 | Other | NC | NORTH CAROLINA BOARD OF PHARMACY |
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All providers in Swansboro, NC · Pharmacist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.