Active NPI
Crystal Mayfield
- Pharmacist
- Wilmington, NC
National Provider Identifier
1831427178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18246
- Practice address
- 3720 S College Rd
Wilmington, NC 28412-2004 - Phone
- (910) 793-5740
- Fax
- (910) 793-6153
- NPI assigned
- Nov 25, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 18246 | NC | Primary |
Addresses
Primary practice location
3720 S College Rd
Wilmington, NC 28412-2004
Mailing address
246 Windchime Dr
Wilmington, NC 28412-7329
Phone (412) 352-6430
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0656208 | Medicaid | NC |
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 |
|---|---|---|---|
| 18246 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259107200000",
"number": "1831427178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "246 WINDCHIME DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284127329",
"telephone_number": "412-352-6430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3720 S COLLEGE RD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284122004",
"telephone_number": "910-793-5740",
"fax_number": "910-793-6153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYFIELD",
"first_name": "CRYSTAL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-25",
"last_updated": "2009-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "18246",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0656208",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.