Active NPI
David A Marley, PHARM D
- Pharmacist
- Winston Salem, NC
National Provider Identifier
1588674337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12343
- Practice address
- 5030 Peters Creek Pkwy
Winston Salem, NC 27127 - Phone
- (336) 771-7672
- Fax
- (336) 771-9921
- NPI assigned
- Aug 8, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12343 | NC | Primary |
Addresses
Primary practice location
5030 Peters Creek Pkwy
Winston Salem, NC 27127
Mailing address
2255 Waldenshire Rd
Winston Salem, NC 27127
Phone (336) 785-4966
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12343 | Other | NC | BOARD OF PHARMACY |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1588674337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2255 WALDENSHIRE RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "27127",
"telephone_number": "336-785-4966",
"fax_number": "336-771-9921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5030 PETERS CREEK PKWY",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "27127",
"telephone_number": "336-771-7672",
"fax_number": "336-771-9921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARLEY",
"first_name": "DAVID",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "12343",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY",
"identifier": "12343",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.