Active NPI
Teressa Gordon Haddon, PHARMD
- Pharmacist
- Fuquay Varina, NC
National Provider Identifier
1588255665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11341
- Practice address
- 305 N Judd Pkwy NE
Fuquay Varina, NC 27526-2370 - Phone
- (919) 557-8300
- NPI assigned
- Feb 1, 2021
- Last updated
- Feb 1, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11341 | NC | Primary |
Addresses
Primary practice location
305 N Judd Pkwy NE
Fuquay Varina, NC 27526-2370
Mailing address
305 N Judd Pkwy NE
Fuquay Varina, NC 27526-2370
Phone (919) 557-8300
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11341 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612137600000",
"number": "1588255665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 N JUDD PKWY NE",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275262370",
"telephone_number": "919-557-8300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 N JUDD PKWY NE",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275262370",
"telephone_number": "919-557-8300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADDON",
"first_name": "TERESSA",
"middle_name": "GORDON",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-01",
"last_updated": "2021-02-01",
"certification_date": "2021-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "11341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fuquay Varina, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.