Active NPI
Mike Dean Tolley, RPH
- Pharmacist
- Swannanoa, NC
National Provider Identifier
1356469886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- NC6070
- Practice address
- 2294 US Highway 70
Psa Clinic Pharmacy
Swannanoa, NC 28778 - Phone
- (828) 686-3804
- Fax
- (828) 686-3839
- NPI assigned
- Mar 26, 2007
- Last updated
- Jul 8, 2007
- 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 | NC6070 | NC | Primary |
Addresses
Primary practice location
2294 US Highway 70
Psa Clinic Pharmacy
Swannanoa, NC 28778
Mailing address
2294 US Highway 70
Swannanoa, NC 28778
Phone (828) 686-3804
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6070 | Other | NC | PHARMACY BOARD |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NC6070 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356469886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2294 US HIGHWAY 70",
"city": "SWANNANOA",
"state": "NC",
"postal_code": "28778",
"telephone_number": "828-686-3804",
"fax_number": "828-686-3839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2294 US HIGHWAY 70",
"address_2": "PSA CLINIC PHARMACY",
"city": "SWANNANOA",
"state": "NC",
"postal_code": "28778",
"telephone_number": "828-686-3804",
"fax_number": "828-686-3839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLLEY",
"first_name": "MIKE",
"middle_name": "DEAN",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "NC6070",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY BOARD",
"identifier": "6070",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Swannanoa, NC
- Sunrise Speech and Swallowing Therapy PLLC
- Swannanoa Valley Family Medicine
- Robert Swoap
- Helena Alexia Theoharis, MA
- Holly Delite Miller Thompson, PHD, LPC, LCMHC
- Amanda Tong, PHARMD
- Total Renal Care of North Carolina, LLC (Swannanoa Dialysis Center)
- Dorothy Nicole Wells, LPN
- Tamra D Whitener
- Thomas Perry Wilder
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.