Dermatology Associates PA

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

11215 Issued in NC

Legal business name

DERMATOLOGY ASSOCIATES PA

Doing business as

Dermatology Associates Pharmacy

Practice address

1904 Tradd CT
Wilmington, NC 28401-6637

Phone

(919) 865-4641

NPI assigned

Mar 29, 2012

Organization subpart

No

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

Authorized official

Name

Tony Gurley

Title

Pharmacy Manager

Phone

(919) 215-0240

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dermatology Associates Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332979200000",
    "number": "1497021919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90216",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276750216",
            "telephone_number": "919-865-4641",
            "fax_number": "919-865-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 TRADD CT",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016637",
            "telephone_number": "919-865-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-03-29",
        "status": "A",
        "authorized_official_last_name": "GURLEY",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "919-215-0240"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "11215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3459903",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dermatology Associates Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolyn Sue Denton, PT, DPT
• Katherine Victoria Denton, PA-C
• Department of Veterans Affairs
• Rhonda Wellman Depasquale, CRNA
• Ashley Depriest, DO
• Dermatology Associates, PA
• Dermone of North Carolina PA
• Dermone Plastic Surgery Associates of North Carolina, PA
• Cassandra Desantis
• Yvonne Desmet, P.A.-C

• Community/Retail Pharmacy in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.