Active NPI
Hudsadong Novansy
- Pharmacist
- Charlotte, NC
National Provider Identifier
1740895119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 29764
- Practice address
- 2035 N Sharon Amity Rd
Charlotte, NC 28205-7923 - Phone
- (704) 535-9850
- NPI assigned
- Sep 12, 2020
- Last updated
- Sep 12, 2020
- Sex
- Male
- Sole proprietor
- No
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 | 29764 | NC | Primary |
Addresses
Primary practice location
2035 N Sharon Amity Rd
Charlotte, NC 28205-7923
Mailing address
2516 Cranbrook LN Apt 7
Charlotte, NC 28207-2029
Phone (704) 965-4825
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 |
|---|---|---|---|
| 29764 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina CVS Pharmacy LLC | Past | Accepting new patients | |
| North Carolina CVS Pharmacy LLC | 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": "1599868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599868800000",
"number": "1740895119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2516 CRANBROOK LN APT 7",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282072029",
"telephone_number": "704-965-4825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2035 N SHARON AMITY RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282057923",
"telephone_number": "704-535-9850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVANSY",
"first_name": "HUDSADONG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-12",
"last_updated": "2020-09-12",
"certification_date": "2020-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "29764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
- Nova Therapy Solution LLC
- Nova Way, LLC
- Danielle Renee Novak, PA
- Thomas Novak, PA
- Novanest Psychiatry and Wellness PLLC
- Novant Health Ballantyne Medical Center LLC (Novant Health Ballantyne Medical Center)
- Novant Health Ballantyne Medical Center LLC
- Novant Health Ballantyne Medical Center LLC
- Novant Health Center City Outpatient Surgery, LLC
- Novant Health Center City Outpatient Surgery, LLC (Novant Health Center City Outpatient Surgery CRNA)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.