Active NPI
Travis Scott Hall, RPH
- Pharmacist
- Statesville, NC
National Provider Identifier
1568532695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14682
- Practice address
- 178 Turnersburg Hwy
Statesville, NC 28625-2890 - Phone
- (704) 872-6355
- NPI assigned
- Nov 8, 2006
- Last updated
- Jan 12, 2021
- 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 | 03321854 | OH | |
| Pharmacist | 183500000X | 14682 | NC | Primary |
Addresses
Primary practice location
178 Turnersburg Hwy
Statesville, NC 28625-2890
Mailing address
219 Laurel Creek Dr
Mount Airy, NC 27030-1919
Phone (336) 462-7229
Other practice location 1
701 West Pine St
Suite 500
Mt Airy, NC 27030
Phone (336) 786-5506
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03321854 | OH | MD | Pharmacist |
| 14682 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mt Airy Drug Inc | Current | Accepting new patients |
Locations
701 W Pine St
Ste 500
Mount Airy, NC 27030
Phone (336) 786-5506
Organizations & group practices 1
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.
-
- Pharmacy
- Mount Airy, NC
- NPI 1225138118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610409600000",
"number": "1568532695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 LAUREL CREEK DR",
"city": "MOUNT AIRY",
"state": "NC",
"postal_code": "270301919",
"telephone_number": "336-462-7229",
"fax_number": "336-786-6867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "178 TURNERSBURG HWY",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286252890",
"telephone_number": "704-872-6355"
}
],
"practiceLocations": [
{
"address_1": "701 West Pine St",
"address_2": "Suite 500",
"address_purpose": "LOCATION",
"city": "Mt Airy",
"state": "NC",
"postal_code": "27030",
"country_code": "US",
"telephone_number": "336-786-5506",
"fax_number": "336-786-6867",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALL",
"first_name": "TRAVIS",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2021-01-12",
"certification_date": "2021-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03321854",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "14682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Statesville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.