Active NPI
George William Bliss III, PHARMD
- Pharmacist
- Clayton, NC
National Provider Identifier
1629305826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19744
- Practice address
- 11306 US 70 Business Hwy W
Clayton, NC 27520-2206 - Phone
- (919) 550-3910
- NPI assigned
- Nov 9, 2009
- Last updated
- Nov 9, 2009
- 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 | 19744 | NC | Primary |
Addresses
Primary practice location
11306 US 70 Business Hwy W
Clayton, NC 27520-2206
Mailing address
11306 US 70 Business Hwy W
Clayton, NC 27520-2206
Phone (919) 550-3910
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 |
|---|---|---|---|
| 19744 | NC | 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": "1257724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257724800000",
"number": "1629305826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11306 US 70 BUSINESS HWY W",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275202206",
"telephone_number": "919-550-3910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11306 US 70 BUSINESS HWY W",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275202206",
"telephone_number": "919-550-3910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLISS",
"first_name": "GEORGE",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-09",
"last_updated": "2009-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "19744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clayton, NC
- Dawson Wayne Blanchard, OTD
- Kortnie Elizabeth Blanchard
- Megan Bland, M.S.,CCC-SLP
- BLDG Bridges Youth & Family Services CDC
- BLDG Bridges Youth & Family Transportation Services, LLC
- Zachary J Bloom, M.D.
- Blooming Expressions Therapy, PLLC
- Blossoming Beginnings, LLC
- Montressa Monique Blount, NP
- Blue Lotus Healing Center, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.