Earl Clifford Black III, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

006766 Issued in NC

Practice address

1403 E Main St
Lincolnton, NC 28092-3901

Phone

(704) 735-5159

Fax

(704) 748-1257

NPI assigned

Jan 21, 2011

Last updated

Jan 21, 2011By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295568000000",
    "number": "1770888752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4376 SCENIC VIEW CT",
            "city": "IRON STATION",
            "state": "NC",
            "postal_code": "280808424",
            "telephone_number": "704-307-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 E MAIN ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280923901",
            "telephone_number": "704-735-5159",
            "fax_number": "704-748-1257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "EARL",
        "middle_name": "CLIFFORD",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-21",
        "last_updated": "2011-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "006766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0555110",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scarlett Victoria Berryhill
• Jaclynn Louise Bess, MS OTR/L
• Donald Forrest Bias Jr., MD
• Bio-Medical Applications of North Carolina, Inc. (Fresenius Medical Care Lincolnton)
• Rabin Bista, MD
• Summer Bentley Blackburn, COTA/L
• Damon Carl Blackley, D.C.
• Kerry Burton Blackwell, PHARMD
• Jenny Bloom
• Boger City Rest Home

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.