Active NPI
Angela Lynn Hazelwood, PHARMD
- Pharmacist
- Greenville, NC
National Provider Identifier
1386121663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28055
- Practice address
- 1895 E Fire Tower Rd
Greenville, NC 27858-4132 - Phone
- (252) 756-9502
- NPI assigned
- Jul 19, 2018
- Sex
- Female
- 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 | 28055 | NC | Primary |
Addresses
Primary practice location
1895 E Fire Tower Rd
Greenville, NC 27858-4132
Mailing address
523 Dietrich LN
New Bern, NC 28562-2638
Phone (252) 514-8509
Other practice location 1
523 Dietrich Ln
New Bern, NC 28562-2638
Phone (252) 514-8509
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28055 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531958400000",
"number": "1386121663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "523 DIETRICH LN",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285622638",
"telephone_number": "252-514-8509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1895 E FIRE TOWER RD",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278584132",
"telephone_number": "252-756-9502"
}
],
"practiceLocations": [
{
"address_1": "523 Dietrich Ln",
"address_purpose": "LOCATION",
"city": "New Bern",
"state": "NC",
"postal_code": "285622638",
"country_code": "US",
"telephone_number": "252-514-8509",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAZELWOOD",
"first_name": "ANGELA",
"middle_name": "LYNN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-19",
"last_updated": "2018-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "28055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.