Robert Shannon Rawls, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

16394 Issued in NC

Practice address

1526 Broad St
Fuquay Varina, NC 27526-8363

Phone

(919) 552-1126

Fax

(919) 552-6017

NPI assigned

Jan 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Realo Discount Drug Stores of Eastern North Carolina Inc

  dba Realo Discount Drugs

  • Community/Retail Pharmacy
  • Clayton, NC
  • NPI 1407104284
  NPD (past)
• Realo Discount Drug Stores of Eastern North Carolina, Inc

  dba Realo Discount Drugs

  • Community/Retail Pharmacy
  • Morehead City, NC
  • NPI 1871370767
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360195200000",
    "number": "1467507426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 BROAD ST",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275268363",
            "telephone_number": "919-552-1126",
            "fax_number": "919-552-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 BROAD ST",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275268363",
            "telephone_number": "919-552-1126",
            "fax_number": "919-552-6017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAWLS",
        "first_name": "ROBERT",
        "middle_name": "SHANNON",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2013-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "16394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Fuquay Varina, NC
• Providers in Fuquay Varina, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.