Elizabeth Portteus, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

30731 Issued in NC

Practice address

1501 W Cumberland St
Dunn, NC 28334-4505

Phone

(910) 891-1930

NPI assigned

Aug 12, 2021

Last updated

Aug 12, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Libbie Portteus Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1346915139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1823 TOWERCREST RD",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275263870",
            "telephone_number": "574-780-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 W CUMBERLAND ST",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283344505",
            "telephone_number": "910-891-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTTEUS",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "30731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIBBIE",
            "last_name": "PORTTEUS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Pharmacist in Dunn, NC
• Providers in Dunn, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.