Individual provider Active NPI

Sonya Godwin

  • Pharmacist
  • Erwin, NC
National Provider Identifier
1629515390
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14527 Issued in NC
Practice address
590 E Jackson Blvd
Erwin, NC 28339-9629
Phone
(910) 892-1011
Fax
(910) 892-3074
NPI assigned
Jan 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14527 NC Primary

Addresses

Primary practice location

590 E Jackson Blvd
Erwin, NC 28339-9629

Mailing address

590 E Jackson Blvd
Erwin, NC 28339-9629
Phone (910) 892-1011

Other identifiers 1

IdentifierTypeStateIssuer
0435396MedicaidNC

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

State licenses

LicenseStateTypeSpecialty
14527NCMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1629515390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 E JACKSON BLVD",
            "city": "ERWIN",
            "state": "NC",
            "postal_code": "283399629",
            "telephone_number": "910-892-1011",
            "fax_number": "910-892-3074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 E JACKSON BLVD",
            "city": "ERWIN",
            "state": "NC",
            "postal_code": "283399629",
            "telephone_number": "910-892-1011",
            "fax_number": "910-892-3074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODWIN",
        "first_name": "SONYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-19",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "14527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0435396",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erwin, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.