Active NPI
James W Elvington, RPH
- Pharmacist
- Pembroke, NC
National Provider Identifier
1730416587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 09865
- Practice address
- 503 E 3Rd St
Pembroke, NC 28372-7989 - Phone
- (910) 521-3910
- Fax
- (910) 521-0705
- NPI assigned
- Nov 13, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 09865 | NC | Primary |
| Pharmacist | 183500000X | 05826 | SC |
Addresses
Primary practice location
503 E 3Rd St
Pembroke, NC 28372-7989
Mailing address
503 E 3Rd St
Pembroke, NC 28372-7989
Phone (910) 521-3910
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09865 | NC | MD | Pharmacist |
| 05826 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412035200000",
"number": "1730416587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 E 3RD ST",
"city": "PEMBROKE",
"state": "NC",
"postal_code": "283727989",
"telephone_number": "910-521-3910",
"fax_number": "910-521-0705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 E 3RD ST",
"city": "PEMBROKE",
"state": "NC",
"postal_code": "283727989",
"telephone_number": "910-521-3910",
"fax_number": "910-521-0705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELVINGTON",
"first_name": "JAMES",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-11-13",
"last_updated": "2014-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "09865",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "05826",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pembroke, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.