Active NPI
Donald Keith Murdock, PHARMACIST
- Pharmacist
- Grandy, NC
National Provider Identifier
1790168664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16596
- Practice address
- 123 Forbes Loop
Grandy, NC 27939-9625 - Phone
- (252) 453-8500
- Fax
- (252) 453-3051
- NPI assigned
- Jul 9, 2015
- 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 | 16596 | NC | Primary |
Addresses
Primary practice location
123 Forbes Loop
Grandy, NC 27939-9625
Mailing address
123 Forbes Loop
Grandy, NC 27939-9625
Phone (252) 453-8500
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 |
|---|---|---|---|
| 16596 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436400000000",
"number": "1790168664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 FORBES LOOP",
"city": "GRANDY",
"state": "NC",
"postal_code": "279399625",
"telephone_number": "252-453-8500",
"fax_number": "252-453-3051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 FORBES LOOP",
"city": "GRANDY",
"state": "NC",
"postal_code": "279399625",
"telephone_number": "252-453-8500",
"fax_number": "252-453-3051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURDOCK",
"first_name": "DONALD",
"middle_name": "KEITH",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-09",
"last_updated": "2015-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "16596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grandy, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.