Active NPI
George Newton Etheredge
- Pharmacist
- Asheville, NC
National Provider Identifier
1508165507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5695
- Practice address
- 1001 Patton Ave
Asheville, NC 28806-3603 - Phone
- (828) 252-1836
- Fax
- (828) 253-4783
- NPI assigned
- Mar 16, 2011
- Last updated
- Mar 16, 2011
- 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 | 5695 | NC | Primary |
Addresses
Primary practice location
1001 Patton Ave
Asheville, NC 28806-3603
Mailing address
115 Independence Blvd
Asheville, NC 28805-9776
Phone (828) 337-1393
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5695 | NC | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300233600000",
"number": "1508165507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 INDEPENDENCE BLVD",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288059776",
"telephone_number": "828-337-1393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 PATTON AVE",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288063603",
"telephone_number": "828-252-1836",
"fax_number": "828-253-4783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ETHEREDGE",
"first_name": "GEORGE",
"middle_name": "NEWTON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-16",
"last_updated": "2011-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "5695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.