Active NPI
Joel Dwaine Putnam, PHARMD.
- Pharmacist
- Denver, NC
National Provider Identifier
1659647303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15465
- Practice address
- 3282 Sand Wedge CT
Denver, NC 28037-8283 - Phone
- (704) 249-4925
- NPI assigned
- Mar 27, 2012
- Sex
- Male
- 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 | 15465 | NC | Primary |
Addresses
Primary practice location
3282 Sand Wedge CT
Denver, NC 28037-8283
Mailing address
3282 Sand Wedge CT
Denver, NC 28037-8283
Phone (704) 249-4925
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 |
|---|---|---|---|
| 15465 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332806400000",
"number": "1659647303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3282 SAND WEDGE CT",
"city": "DENVER",
"state": "NC",
"postal_code": "280378283",
"telephone_number": "704-249-4925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3282 SAND WEDGE CT",
"city": "DENVER",
"state": "NC",
"postal_code": "280378283",
"telephone_number": "704-249-4925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUTNAM",
"first_name": "JOEL",
"middle_name": "DWAINE",
"name_prefix": "Dr.",
"credential": "PHARMD.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-27",
"last_updated": "2012-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "15465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, NC
- Ann Elizabeth Pittoni Condon, MD
- Powell Specialties Group PLLC
- Debra D Powell, PA-C
- Quentin Aaron Powell, LCSW, LCASA
- Publix North Carolina, LP (Publix Pharmacy #1603)
- Moses S Raj, MD
- James Rapsinski, PA
- Red Clay Chiropractic, PC (Denver Chiropractic & Functional Neurology)
- Rodney Lane Redelsperger, M.D.
- Elizabeth Restino, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.