Dustin Packer

Primary specialty

PharmacistTaxonomy code 183500000X

License

29765 Issued in NC

Practice address

103 E 24TH St
Lumberton, NC 28358-3651

Phone

(910) 739-4196

NPI assigned

Aug 12, 2020

Last updated

Jul 28, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Powers Pharmacy of Loris Inc

  dba Powers Pharmacy of Loris

  • Community/Retail Pharmacy
  • Loris, SC
  • NPI 1588761423
  NPD (past)

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1730790866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E 24TH ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583651",
            "telephone_number": "910-739-4196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E 24TH ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583651",
            "telephone_number": "910-739-4196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3985 Meeting St",
            "address_purpose": "LOCATION",
            "city": "Loris",
            "state": "SC",
            "postal_code": "295693053",
            "country_code": "US",
            "telephone_number": "843-756-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACKER",
        "first_name": "DUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-12",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "42784",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "29765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Locklear Oxendine, CNM
• Samantha Oxendine
• P. Lamb Inc (Glezen FCH 1)
• P. Lamb Inc.
• P. Lamb Inc. (Glezen FCH 2)
• Quanetta Paige
• Palmetto Primary Healthcare PLLC
• Debra McMehan Parker, CNNP
• Erick Adrian Parra Hernandez, FNP-C
• Passions Personal Touch Home Care LLC

• Pharmacist in Lumberton, NC
• Providers in Lumberton, 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 28, 2021; 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.