Nathan Daughtry

Key facts

NPI

1336037449

Entity type

Individual (NPI type 1)

Primary specialty

Pharmacist 183500000X

License

12997 (NC)

Practice address

1703 Live Oak St
Beaufort, NC 28516-8200

Phone

(252) 728-4115

Fax

(252) 728-1720

NPI assigned

Jun 26, 2025

Sex

Male

Sole proprietor

No

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 and National Provider Directory roles.

• Trent East Pharmacy Community/Retail Pharmacy · New Bern, NC · NPI 1801958517
  NPD Authorized official
• North Carolina CVS Pharmacy LLC Pharmacy · Beaufort, NC · NPI 1194828871
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 22, 2025.

{
    "created_epoch": "1750896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1336037449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 GIBBS CT",
            "city": "BEAUFORT",
            "state": "NC",
            "postal_code": "285161558",
            "telephone_number": "252-474-6581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 LIVE OAK ST",
            "city": "BEAUFORT",
            "state": "NC",
            "postal_code": "285168200",
            "telephone_number": "252-728-4115",
            "fax_number": "252-728-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUGHTRY",
        "first_name": "NATHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "12997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, NC

• County of Carteret Courthouse Square Finance Office
• Covington Optometric Family Eye Care, P.a.
• Frank Edward Covington, O.D.
• Chance Jennings Cox, DPT
• James J Crosswell Jr., MD
• Rachel Dawson, DPT
• Nicole Dobbs, FNP
• Lori Dorsey
• East Coast Medical
• Eckerd Corporation

All providers in Beaufort, NC · Pharmacist in North Carolina