Active NPI
Mickey Worthington, PHARMD
- Pharmacist
- Whiteville, NC
National Provider Identifier
1386180248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11484
- Practice address
- 20 Whiteville Town Ctr
Whiteville, NC 28472 - Phone
- (910) 207-6369
- NPI assigned
- Jan 16, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 | 11484 | NC | Primary |
Addresses
Primary practice location
20 Whiteville Town Ctr
Whiteville, NC 28472
Mailing address
20 Whiteville Town Ctr
Whiteville, NC 28472-4401
Phone (910) 207-6369
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 |
|---|---|---|---|
| 11484 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CRX, Inc. | Current | Accepting new patients |
Locations
20 Whiteville Town Ctr
Whiteville, NC 28472
Phone (910) 207-6369
Organizations & group practices 1
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": "1484524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536019200000",
"number": "1386180248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 WHITEVILLE TOWN CTR",
"city": "WHITEVILLE",
"state": "NC",
"postal_code": "284724401",
"telephone_number": "910-207-6369",
"fax_number": "910-445-0024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 WHITEVILLE TOWN CTR",
"city": "WHITEVILLE",
"state": "NC",
"postal_code": "28472",
"telephone_number": "910-207-6369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORTHINGTON",
"first_name": "MICKEY",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-01-16",
"last_updated": "2018-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "11484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Whiteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.