Jacobus Viggo Dodoo, M. PHARM

Primary specialty

PharmacistTaxonomy code 183500000X

License

18801 Issued in NC

Practice address

1401 E Franklin Blvd
Gastonia, NC 28054-4059

Phone

(980) 320-1533

Fax

(980) 320-1534

NPI assigned

Mar 1, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• DSD Pharmacy Inc.

  • Pharmacist
  • Gastonia, NC
  • NPI 1326412859
  NPD Authorized official
• DSD Pharmacy Inc.

  • Community/Retail Pharmacy
  • Gastonia, NC
  • NPI 1932586351
  NPD Authorized official

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

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1285932129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 E FRANKLIN BLVD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280544059",
            "telephone_number": "980-320-1533",
            "fax_number": "980-320-1534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E FRANKLIN BLVD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280544059",
            "telephone_number": "980-320-1533",
            "fax_number": "980-320-1534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODOO",
        "first_name": "JACOBUS",
        "middle_name": "VIGGO",
        "name_prefix": "Mr.",
        "credential": "M. PHARM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-01",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "18801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932586351",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meredith Hayek Dixon, PT, DPT
• My Thuan Luong DO, O.D.
• Amy Lynn Dockery
• Cassie Dockery
• Janice Patrice Dodge, PH.D.
• Josephine Henry Dogan, BSW
• Robert M. Doline, M.D.
• Dianel Tandaguen Domingo, P.T.
• Ryan Kaylianna Donelson, BCBA, LBA
• William T Donigan, DDS

• Pharmacist in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.