Individual provider Active NPI

Donald Joseph Pelz, B.S.

  • Pharmacist
  • Brevard, NC
National Provider Identifier
1558382275
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
12009 Issued in NC
Practice address
684 N Broad St
Brevard, NC 28712-3176
Phone
(828) 883-2358
Fax
(828) 883-9576
NPI assigned
Jul 21, 2006
Last updated
Jan 18, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 12009 NC Primary
Pharmacotherapy Pharmacist 1835P1200X 12009 NC

Addresses

Primary practice location

684 N Broad St
Brevard, NC 28712-3176

Mailing address

229 Haywood Knolls Dr
Hendersonville, NC 28791-8717
Phone (828) 891-9934

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
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
12009NCMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ingles Markets Inc Past Accepting new patients
Ingles Markets Inc 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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484697600000",
    "number": "1558382275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 HAYWOOD KNOLLS DR",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287918717",
            "telephone_number": "828-891-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "684 N BROAD ST",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287123176",
            "telephone_number": "828-883-2358",
            "fax_number": "828-883-9576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELZ",
        "first_name": "DONALD",
        "middle_name": "JOSEPH",
        "credential": "B.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2017-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "12009",
            "primary": true
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "NC",
            "license": "12009",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brevard, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.