Individual provider Active NPI

Jeremy Dale Efird, PHARMD

  • Pharmacist
  • Ahoskie, NC
National Provider Identifier
1356887384
Registry record updated Jan 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
24102 Issued in NC
Practice address
2150 US Highway 13 S
Ahoskie, NC 27910-9481
Phone
(252) 332-3545
Fax
(252) 332-2753
NPI assigned
Jan 14, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 24102 NC Primary

Addresses

Primary practice location

2150 US Highway 13 S
Ahoskie, NC 27910-9481

Mailing address

2150 US Highway 13 S
Ahoskie, NC 27910-9481
Phone (252) 332-3545

Other identifiers 1

IdentifierTypeStateIssuer
24102OtherNCNC STATE PHARMACIST LICENSE

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
Doctor of Pharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
Wal-Mart Stores East LP Past Accepting new patients
Wal-Mart Stores East, LP Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1484352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484352000000",
    "number": "1356887384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 US HIGHWAY 13 S",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279109481",
            "telephone_number": "252-332-3545",
            "fax_number": "252-332-2753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 US HIGHWAY 13 S",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279109481",
            "telephone_number": "252-332-3545",
            "fax_number": "252-332-2753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EFIRD",
        "first_name": "JEREMY",
        "middle_name": "DALE",
        "name_prefix": "Mr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-14",
        "last_updated": "2017-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "24102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC STATE PHARMACIST LICENSE",
            "identifier": "24102",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ahoskie, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2017; 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.