Active NPI
David J Church
- Pharmacist
- Mooresville, NC
National Provider Identifier
1518364488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28567
- Practice address
- 559 River Hwy
Mooresville, NC 28117-8315 - Phone
- (704) 663-3438
- Fax
- (704) 663-6469
- NPI assigned
- Nov 20, 2014
- Last updated
- Aug 1, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202213622 | VA | |
| Pharmacist | 183500000X | 28567 | NC | Primary |
Addresses
Primary practice location
559 River Hwy
Mooresville, NC 28117-8315
Mailing address
16306 Nicodemus LN
Huntersville, NC 28078
Phone (678) 237-7344
Other practice location 1
13007 Warwick Blvd
Newport News, VA 23602-8315
Phone (757) 882-1074
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 |
|---|---|---|---|
| 28567 | NC | MD | Pharmacist |
| 0202213622 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564617600000",
"number": "1518364488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16306 NICODEMUS LN",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "28078",
"telephone_number": "678-237-7344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "559 RIVER HWY",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281178315",
"telephone_number": "704-663-3438",
"fax_number": "704-663-6469"
}
],
"practiceLocations": [
{
"address_1": "13007 Warwick Blvd",
"address_purpose": "LOCATION",
"city": "Newport News",
"state": "VA",
"postal_code": "236028315",
"country_code": "US",
"telephone_number": "757-882-1074",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHURCH",
"first_name": "DAVID",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-11-20",
"last_updated": "2019-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202213622",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "28567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mooresville, NC
- Chirolife Wellness Center, PLLC (ChiroLife Mooresville)
- Chiropractic Wellness Center, P.a.
- Evan John Chouinard
- Liza Jane Christiansen, MS, LCMHCA
- Dijana Talic Christianson, DO
- Cindy Pierce Counseling
- Citadel Mooresville LLC (Glenwood Rehabilitation and Nursing Center)
- Brittney Clark, M.A, LMFT
- Cheryl Clark, CCC-SLP
- Skylar Clark, LCMHCA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.