Active NPI
Dunaways Inc
Doing business as Edgeway Pharmacy
- Long Term Care Pharmacy
- Cramerton, NC
National Provider Identifier
1508998840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- DUNAWAYS INC
- Doing business as
- Edgeway Pharmacy
- Practice address
- 102 Hidden Pastures Dr Ste 106
Cramerton, NC 28032-1697 - Phone
- (704) 865-9480
- Fax
- (704) 865-5480
- NPI assigned
- Mar 12, 2007
- Last updated
- Mar 15, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jennifer Weathers Ethridge, PHARM.D.
- Title
- President
- Phone
- (704) 865-9480
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
102 Hidden Pastures Dr Ste 106
Cramerton, NC 28032-1697
Mailing address
102 Hidden Pastures Dr Ste 106
Cramerton, NC 28032-1697
Phone (704) 865-9480
Other names 1
- Edgeway Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150224001980 | NC | Part B Supplier - Mass Immunization (Roster Biller Only) | 3173849833 | Practice locations: Cramerton, NC |
National Provider Directory
National Provider Directory- Tax ID family
- Dunaways Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
102 Hidden Pastures Dr
Ste 102
Cramerton, NC 28032
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Gastonia, NC
- NPI 1023413804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1552608000000",
"number": "1508998840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 HIDDEN PASTURES DR STE 106",
"city": "CRAMERTON",
"state": "NC",
"postal_code": "280321697",
"telephone_number": "704-865-9480",
"fax_number": "704-865-5480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 HIDDEN PASTURES DR STE 106",
"city": "CRAMERTON",
"state": "NC",
"postal_code": "280321697",
"telephone_number": "704-865-9480",
"fax_number": "704-865-5480"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUNAWAYS INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-12",
"last_updated": "2019-03-15",
"status": "A",
"authorized_official_last_name": "ETHRIDGE",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "WEATHERS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "704-865-9480",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARM.D."
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Edgeway Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Edgeway Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Cramerton, NC
- A Time for Everything, LLC
- Carillon Assisted Living of Cramer Mountain
- Custom Physical Therapy and Fitness
- Jeff Darracott
- Kristy Suzanne Deal, RN
- Ec Opco Cramerton LP (Elmcroft of Cramerton)
- Gaston Family Health Services Inc (Kintegra at Cramerton Middle)
- Amber Leigh Gibson, LCMHC
- William Preston Guy III, RPH
- Phyllis Hattaway, PTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.