Active NPI
Richard Davidowitz
- Pharmacist
- Gastonia, NC
National Provider Identifier
1740560879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13508
- Practice address
- 2500 E Franklin Blvd
Gastonia, NC 28056-7262 - Phone
- (704) 867-2474
- Fax
- (704) 867-7746
- NPI assigned
- Aug 20, 2011
- 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 | 22097 | NC | |
| Pharmacist | 183500000X | 13508 | SC | Primary |
Addresses
Primary practice location
2500 E Franklin Blvd
Gastonia, NC 28056-7262
Mailing address
2500 E Franklin Blvd
Gastonia, NC 28056-7262
Phone (704) 867-2474
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13508 | SC | MD | Pharmacist |
| 22097 | NC | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671408000000",
"number": "1740560879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 E FRANKLIN BLVD",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280567262",
"telephone_number": "704-867-2474",
"fax_number": "704-867-7746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 E FRANKLIN BLVD",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280567262",
"telephone_number": "704-867-2474",
"fax_number": "704-867-7746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDOWITZ",
"first_name": "RICHARD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-20",
"last_updated": "2022-12-19",
"certification_date": "2022-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "22097",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "13508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.