Organization Active NPI

DSD Pharmacy Inc.

  • Pharmacist
  • Gastonia, NC
National Provider Identifier
1326412859
Registry record updated Nov 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
18801 Issued in NC
Legal business name
DSD PHARMACY INC.
Practice address
1401 E Franklin Blvd
Gastonia, NC 28054-4059
Phone
(980) 320-1533
NPI assigned
Nov 20, 2015
Last updated
Nov 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2015

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

Authorized official

Name
Mr. Jacobus Viggo Dodoo, RPHNPI 1285932129
Title
Pharmacist / Owner
Phone
(704) 675-1387

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 18801 NC Primary

Addresses

Primary practice location

1401 E Franklin Blvd
Gastonia, NC 28054-4059

Mailing address

1029 Tomshire Dr
Gastonia, NC 28056-2204
Phone (704) 675-1387

National Provider Directory

National Provider Directory
Tax ID family
DSD Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447977600000",
    "number": "1326412859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 TOMSHIRE DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280562204",
            "telephone_number": "704-675-1387"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DSD PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-20",
        "last_updated": "2015-11-20",
        "status": "A",
        "authorized_official_last_name": "DODOO",
        "authorized_official_first_name": "JACOBUS",
        "authorized_official_middle_name": "VIGGO",
        "authorized_official_title_or_position": "PHARMACIST / OWNER",
        "authorized_official_telephone_number": "704-675-1387",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "18801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; 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.