Active NPI
Anita Logan, RPH
- Pharmacist
- Grimesland, NC
National Provider Identifier
1801336508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10580
- Practice address
- 903 Tucker Rd
Grimesland, NC 27837-9287 - Phone
- (800) 669-6690
- Fax
- (800) 753-8438
- NPI assigned
- Feb 28, 2017
- Last updated
- Feb 28, 2017
- Sex
- Female
- 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 | 10580 | NC | Primary |
Addresses
Primary practice location
903 Tucker Rd
Grimesland, NC 27837-9287
Mailing address
749 A Simpson Street
Simpson, NC 27879
Phone (800) 669-6690
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10580 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pharmerica Drug Systems LLC | Past | Accepting new patients | |
| Pharmerica Drug Systems 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": "1488240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488240000000",
"number": "1801336508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "749 A SIMPSON STREET",
"city": "SIMPSON",
"state": "NC",
"postal_code": "27879",
"telephone_number": "800-669-6690",
"fax_number": "800-753-8438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 TUCKER RD",
"city": "GRIMESLAND",
"state": "NC",
"postal_code": "278379287",
"telephone_number": "800-669-6690",
"fax_number": "800-753-8438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGAN",
"first_name": "ANITA",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-28",
"last_updated": "2017-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "10580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grimesland, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.