Individual provider Active NPI

Eric Richard Koegle, MSPS PHARMD RPH

  • Pharmacist
  • Hickory, NC
National Provider Identifier
1275915209
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
25157 Issued in NC
Practice address
1071 7TH Street CT SE
Hickory, NC 28602-3964
Phone
(828) 358-2310
NPI assigned
Jun 25, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 25157 NC Primary

Addresses

Primary practice location

1071 7TH Street CT SE
Hickory, NC 28602-3964

Mailing address

5848 McClintock Dr
Denver, NC 28037-0198
Phone (440) 241-1401

Other practice location 1

700 Pony Rd
Zebulon, NC 27597-2586
Phone (919) 823-4850

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, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
25157NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pharmcare USA of North Carolina CurrentSince Nov 19, 2023 Accepting new patients

Locations

1071 7th Street Ct SE
Hickory, NC 28602
Phone (828) 358-2310

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1275915209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5848 MCCLINTOCK DR",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280370198",
            "telephone_number": "440-241-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1071 7TH STREET CT SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286023964",
            "telephone_number": "828-358-2310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Pony Rd",
            "address_purpose": "LOCATION",
            "city": "Zebulon",
            "state": "NC",
            "postal_code": "275972586",
            "country_code": "US",
            "telephone_number": "919-823-4850",
            "fax_number": "855-937-0790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOEGLE",
        "first_name": "ERIC",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "MSPS PHARMD RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-25",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "25157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.