Frank Cecil Etier Sr., R.PH.
Individual provider Active NPI Pharmacist · Canton, NC
NPI 1346580040 · NPPES record last updated Feb 18, 2013
Key facts
- NPI
- 1346580040
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 18061 (NC)
- Practice address
- 630 Champion Dr
Canton, NC 28716-3032 - Phone
- (828) 235-2795
- Fax
- (828) 235-8276
- NPI assigned
- Feb 18, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10541 | LA | MD | Pharmacist |
| 18061 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ingles Markets Inc | Past |
Accepting new patients | |
| Ingles Markets Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18061 | NC | Yes |
| Pharmacist | 183500000X | 10541 | LA |
Addresses
Primary practice location
630 Champion Dr
Canton, NC 28716-3032
Mailing address
630 Champion Dr
Canton, NC 28716-3032
Phone (828) 235-2795
Other providers in Canton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.