Active NPI
Triantaphylli Phyllis Kaperonis, PHARM D
- Pharmacist
- Charlotte, NC
National Provider Identifier
1306179403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17690
- Practice address
- 544 Providence Rd
Charlotte, NC 28207-1602 - Phone
- (704) 377-1556
- NPI assigned
- Sep 8, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 17690 | NC | Primary |
Addresses
Primary practice location
544 Providence Rd
Charlotte, NC 28207-1602
Mailing address
4201 Murrayhill Rd
Charlotte, NC 28209-4738
Phone (704) 564-8292
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 |
|---|---|---|---|
| 17690 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252368000000",
"number": "1306179403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 MURRAYHILL RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282094738",
"telephone_number": "704-564-8292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "544 PROVIDENCE RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071602",
"telephone_number": "704-377-1556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAPERONIS",
"first_name": "TRIANTAPHYLLI",
"middle_name": "PHYLLIS",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-08",
"last_updated": "2009-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "17690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.