Active NPI
Chandler Cottle, PHARMD
- Pharmacist
- Greensboro, NC
National Provider Identifier
1265074835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 29043
- Practice address
- 300 E Cornwallis Dr
Greensboro, NC 27408 - Phone
- (336) 275-9471
- NPI assigned
- Oct 15, 2019
- Last updated
- Oct 15, 2019
- Sex
- Male
- 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 | 29043 | NC | Primary |
Addresses
Primary practice location
300 E Cornwallis Dr
Greensboro, NC 27408
Mailing address
3609 North Elm Street Apt 1D
Greensboro, NC 27455
Phone (803) 509-3963
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 424081 | 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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29043 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
300 E Cornwallis Dr
Greensboro, NC 27408
Phone (336) 275-9471
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": "1571097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571097600000",
"number": "1265074835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3609 NORTH ELM STREET APT 1D",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "27455",
"telephone_number": "803-509-3963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E CORNWALLIS DR",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "27408",
"telephone_number": "336-275-9471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COTTLE",
"first_name": "CHANDLER",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-15",
"last_updated": "2019-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "29043",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "424081",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.