Active NPI
Jennifer Dadzie, PHARM D
- Pharmacist
- Greensboro, NC
National Provider Identifier
1396112983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24772
- Practice address
- 309 E Cornwallis Dr
Greensboro, NC 27408-5103 - Phone
- (336) 274-0179
- Fax
- (336) 373-9957
- NPI assigned
- Aug 31, 2015
- Last updated
- Feb 28, 2023
- Sex
- Female
- 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 | 24772 | NC | Primary |
Addresses
Primary practice location
309 E Cornwallis Dr
Greensboro, NC 27408-5103
Mailing address
1625 Haddington Point Dr
Kernersville, NC 27284-7188
Phone (404) 786-4691
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 |
|---|---|---|---|
| 24772 | NC | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677542400000",
"number": "1396112983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1625 HADDINGTON POINT DR",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "272847188",
"telephone_number": "404-786-4691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 E CORNWALLIS DR",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274085103",
"telephone_number": "336-274-0179",
"fax_number": "336-373-9957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DADZIE",
"first_name": "JENNIFER",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-31",
"last_updated": "2023-02-28",
"certification_date": "2023-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "24772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.