John C Pacosa, PHARM. D.
Individual provider Active NPI Pharmacist · Swannanoa, NC
NPI 1659619393 · NPPES record last updated Jan 30, 2013
Key facts
- NPI
- 1659619393
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 19769 (NC)
- Practice address
- 2299 US Highway 70
Swannanoa, NC 28778-9304 - Phone
- (828) 686-5081
- Fax
- (828) 686-5209
- NPI assigned
- Jan 30, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH024435 | GA | MD | Pharmacist |
| 19769 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ingles Markets Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19769 | NC | Yes |
| Pharmacist | 183500000X | RPH024435 | GA |
Addresses
Primary practice location
2299 US Highway 70
Swannanoa, NC 28778-9304
Mailing address
2299 US Highway 70
Swannanoa, NC 28778-9304
Other providers in Swannanoa, NC
- National Mentor Healthcare LLC
- Brittany Nicole Neumann
- North Carolina CVS Pharmacy LLC
- Opco Swannanoa, NC, LLC
- Susan McLeod Owens
- Anastasios Anthony Pantelopulos
- Partnership for the Art at the Core of Education
- Cortney Pauly
- Teresa Kay Pearman
- Pelican Health at Asheville LLC
All providers in Swannanoa, NC · Pharmacist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.