Autumn S Domingez, PHARM D, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP441108 Issued in PA

Practice address

1903 W Florida St
Greensboro, NC 27403-3362

Phone

(336) 294-0936

Fax

(336) 834-9426

NPI assigned

Jul 14, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310601600000",
    "number": "1699063438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 W FLORIDA ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274033362",
            "telephone_number": "336-294-0936",
            "fax_number": "336-834-9426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 W FLORIDA ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274033362",
            "telephone_number": "336-294-0936",
            "fax_number": "336-834-9426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGEZ",
        "first_name": "AUTUMN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PHARM D, RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-14",
        "last_updated": "2011-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "18634",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP441108",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "RPH03230864-2",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany W Dohner, M.A., CCC-SLP
• Whitney Ann Doiron, NP
• Stesha Adai Doku, MD
• William E Dolan, O.D.
• Scott Dollar
• Kerusso Pooley Dominguez, DDS
• Andrea Dominick
• Dominion Diagnostics LLC
• Dominion Radiology LLC
• Donald J Digby MD PA (Digby Eyewear)

• Pharmacist in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; 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.