Active NPI
Anthony Clodfelter, RPH
- Pharmacist
- Kannapolis, NC
National Provider Identifier
1487957619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12116
- Practice address
- 520 N Cannon Blvd
Kannapolis, NC 28083-3802 - Phone
- (704) 938-3187
- Fax
- (704) 933-5173
- NPI assigned
- Dec 9, 2010
- 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 | 12116 | NC | Primary |
Addresses
Primary practice location
520 N Cannon Blvd
Kannapolis, NC 28083-3802
Mailing address
304 Melinda Ave
Kannapolis, NC 28083-3847
Phone (704) 932-1412
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12116 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291852800000",
"number": "1487957619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 MELINDA AVE",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280833847",
"telephone_number": "704-932-1412",
"fax_number": "704-933-5173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 N CANNON BLVD",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280833802",
"telephone_number": "704-938-3187",
"fax_number": "704-933-5173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLODFELTER",
"first_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-12-09",
"last_updated": "2010-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "12116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kannapolis, NC
- Tonda Ellington Childers, MA; LPCA
- Donna Childress, MD
- Christian Hearing & Tinnitus of Kannapolis & Concord LLC
- Christian Women of Elegance Dba
- Ivette Dianelle Cintron-Cubero, FNP-C
- Kendal Coffey, M.A, CCC-SLP
- Patrice Coleman
- Jennifer Collins, LCSW-A
- Alexandra Adare Colt, MD
- Compass Healthcare and Rehab Kannapolis, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.