Active NPI
Michael Grant Bridgwood, RPH
- Pharmacist
- Arden, NC
National Provider Identifier
1285974758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18079
- Practice address
- 301 Long Shoals Rd
Arden, NC 28704-7713 - Phone
- (828) 684-9019
- Fax
- (828) 684-9836
- NPI assigned
- Feb 21, 2013
- Last updated
- Feb 21, 2013
- 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 | 18079 | NC | Primary |
Addresses
Primary practice location
301 Long Shoals Rd
Arden, NC 28704-7713
Mailing address
301 Long Shoals Rd
Arden, NC 28704
Phone (828) 230-9915
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18079 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ingles Markets Inc | Past | Accepting new patients | |
| Ingles Markets Inc | Past | Accepting new patients |
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.
-
- Community/Retail Pharmacy
- Acworth, GA
- NPI 1023872108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361404800000",
"number": "1285974758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 LONG SHOALS RD",
"city": "ARDEN",
"state": "NC",
"postal_code": "28704",
"telephone_number": "828-230-9915",
"fax_number": "828-684-9019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 LONG SHOALS RD",
"city": "ARDEN",
"state": "NC",
"postal_code": "287047713",
"telephone_number": "828-684-9019",
"fax_number": "828-684-9836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIDGWOOD",
"first_name": "MICHAEL",
"middle_name": "GRANT",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-21",
"last_updated": "2013-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "18079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arden, NC
- Teresa J Bradley, M.D.
- Kelly Michele Brahy, LCMHC, NCC, QS
- Bree Normandin Lcmhc PLLC
- Brent Hayward Barroso-Bernier DDS PLLC (Arden Family Dentistry)
- Bridgebuilders Family & Youth Services Inc.
- Carrie A Britt, PHARMD
- Julie Marie Brown, M.S., CCC- SLP
- Lauren Michele Brown
- Jay Bryner Jr., PA-C
- Kristin Michelle Brzycki, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.