Active NPI
Lucas Adam Traylor, PHARM. D.
- Pharmacist
- Kings Mountain, NC
National Provider Identifier
1306278650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23362
- Practice address
- 1017 Shelby Rd
Kings Mountain, NC 28086-2739 - Phone
- (704) 739-2571
- NPI assigned
- Aug 8, 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 | 23362 | NC | Primary |
Addresses
Primary practice location
1017 Shelby Rd
Kings Mountain, NC 28086-2739
Mailing address
2338 Yadkin Ave
Apt 103
Charlotte, NC 28205-1889
Phone (704) 460-6828
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 |
|---|---|---|---|
| 23362 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375920000000",
"number": "1306278650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2338 YADKIN AVE",
"address_2": "APT 103",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282051889",
"telephone_number": "704-460-6828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1017 SHELBY RD",
"city": "KINGS MOUNTAIN",
"state": "NC",
"postal_code": "280862739",
"telephone_number": "704-739-2571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAYLOR",
"first_name": "LUCAS",
"middle_name": "ADAM",
"credential": "PHARM. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-08",
"last_updated": "2013-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "23362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kings Mountain, NC
- The Charlotte-Mecklenburg Hospital Authority
- The Charlotte-Mecklenburg Hospital Authority
- Scott David Thielbar, PA-C
- Claire Elizabeth Thombs, LCSW
- Everette B Thombs Sr., MD
- Deborah B Trivett, LMBT, MMP
- Deanna Lee Unnasch, LMBT
- Jerry Marvin Utt, LCSW
- Yvonne Andrea Valencia, FNP-C
- Chasity Latreece Vargas, DNP FNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.