Active NPI
Jud Tanner Hammock
- Pharmacy Technician
- Indian Trail, NC
National Provider Identifier
1801350046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 34447
- Practice address
- 2101 Younts Rd
Indian Trail, NC 28079-8505 - Phone
- (704) 882-6853
- Fax
- (704) 882-7842
- NPI assigned
- Jan 22, 2019
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 34447 | NC | Primary |
Addresses
Primary practice location
2101 Younts Rd
Indian Trail, NC 28079-8505
Mailing address
2101 Younts Rd
Indian Trail, NC 28079-8505
Phone (704) 882-6853
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 |
|---|---|---|---|
| 34447 | NC | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548115200000",
"number": "1801350046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 YOUNTS RD",
"city": "INDIAN TRAIL",
"state": "NC",
"postal_code": "280798505",
"telephone_number": "704-882-6853",
"fax_number": "704-882-7842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 YOUNTS RD",
"city": "INDIAN TRAIL",
"state": "NC",
"postal_code": "280798505",
"telephone_number": "704-882-6853",
"fax_number": "704-882-7842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMMOCK",
"first_name": "JUD",
"middle_name": "TANNER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-22",
"last_updated": "2019-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "NC",
"license": "34447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indian Trail, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.