Individual provider Active NPI

Dylan King, PHARMD

  • Pharmacist
  • Garner, NC
National Provider Identifier
1285341453
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
31557 Issued in NC
Practice address
5680 NC Highway 42 W
Garner, NC 27529-8120
Phone
(919) 772-6450
NPI assigned
Oct 27, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 31557 NC Primary

Addresses

Primary practice location

5680 NC Highway 42 W
Garner, NC 27529-8120

Mailing address

316 Woodlief Farm Rd
Rolesville, NC 27571-9224
Phone (919) 218-3162

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL N/A CVS Pharmacy

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

LicenseStateTypeSpecialty
31557NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1285341453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 WOODLIEF FARM RD",
            "city": "ROLESVILLE",
            "state": "NC",
            "postal_code": "275719224",
            "telephone_number": "919-218-3162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5680 NC HIGHWAY 42 W",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275298120",
            "telephone_number": "919-772-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "DYLAN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "31557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "Y",
            "endpointDescription": "N/A",
            "affiliationName": "CVS Pharmacy",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5680 Nc Highway 42 W",
            "city": "Garner",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275298120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Garner, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.