Individual provider Active NPI

Anna F Ferguson, RPH

  • Pharmacist
  • Taylorsville, NC
National Provider Identifier
1790923936
Registry record updated Dec 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
9028 Issued in NC
Practice address
24 Commerce Dr
Taylorsville, NC 28681-6524
Phone
(828) 632-8591
Fax
(828) 635-0529
NPI assigned
Jan 26, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 10269 NC
Pharmacist 183500000X 9028 NC Primary

Addresses

Primary practice location

24 Commerce Dr
Taylorsville, NC 28681-6524

Mailing address

24 Commerce Dr
Taylorsville, NC 28681-6524
Phone (828) 632-8591

Other identifiers 1

IdentifierTypeStateIssuer
025064MedicaidNC

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
9028NCMDProfessional Counselor
10269NCMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Office Practice of Pharmacy LLC Community/Retail Pharmacy Current Accepting new patients
Office Practice of Pharmacy LLC Community/Retail Pharmacy Current Accepting new patients

Locations

24 Commerce Dr
Taylorsville, NC 28681
Phone (828) 632-8591

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386115200000",
    "number": "1790923936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 COMMERCE DR",
            "city": "TAYLORSVILLE",
            "state": "NC",
            "postal_code": "286816524",
            "telephone_number": "828-632-8591",
            "fax_number": "828-635-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 COMMERCE DR",
            "city": "TAYLORSVILLE",
            "state": "NC",
            "postal_code": "286816524",
            "telephone_number": "828-632-8591",
            "fax_number": "828-635-0529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "ANNA",
        "middle_name": "F",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-26",
        "last_updated": "2013-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "10269",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "9028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025064",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorsville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; 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.