Earle Watts Allen Jr.
Individual provider Active NPI Pharmacist · Belmont, NC
NPI 1811296064 · NPPES record last updated Mar 26, 2011
Key facts
- NPI
- 1811296064
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 06651 (NC)
- Practice address
- 625 Park St
Belmont, NC 28012-2777 - Phone
- (704) 825-3358
- NPI assigned
- Mar 26, 2011
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06651 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eckerd Corporation | Past | Accepting new patients | |
| Eckerd Corporation | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 06651 | NC | Yes |
Addresses
Primary practice location
625 Park St
Belmont, NC 28012-2777
Mailing address
625 Park St
Belmont, NC 28012-2777
Phone (704) 825-3358
Other providers in Belmont, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.