Individual provider Active NPI

Candi Waters Batchelor, PHARMD

  • Pharmacist
  • Pink Hill, NC
National Provider Identifier
1508378662
Registry record updated Oct 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
18266 Issued in NC
Practice address
4459 Tarheel Dr
Pink Hill, NC 28572-9649
Phone
(252) 568-9945
NPI assigned
Oct 30, 2017
Last updated
Oct 30, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 18266 NC Primary

Addresses

Primary practice location

4459 Tarheel Dr
Pink Hill, NC 28572-9649

Mailing address

209 Southerland Rd
Albertson, NC 28508-9452
Phone (252) 939-6126

Other names 1

  • Miss Candi Dawn Waters Former name

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

LicenseStateTypeSpecialty
18266NCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509321600000",
    "number": "1508378662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 SOUTHERLAND RD",
            "city": "ALBERTSON",
            "state": "NC",
            "postal_code": "285089452",
            "telephone_number": "252-939-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4459 TARHEEL DR",
            "city": "PINK HILL",
            "state": "NC",
            "postal_code": "285729649",
            "telephone_number": "252-568-9945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATCHELOR",
        "first_name": "CANDI",
        "middle_name": "WATERS",
        "name_prefix": "Mrs.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-30",
        "last_updated": "2017-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "18266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDI",
            "last_name": "WATERS",
            "middle_name": "DAWN",
            "prefix": "MISS",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pink Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; 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.