Individual provider Active NPI

Josephine Lovelace Polhemus, RPH

  • Pharmacist
  • Hickory, NC
National Provider Identifier
1831593615
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
9431 Issued in NC
Practice address
12TH Avenue NE
Hickory, NC 28601
Phone
(401) 665-9765
Fax
(401) 652-0281
NPI assigned
Oct 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 9431 NC Primary
Pharmacist 183500000X 7349 SC

Addresses

Primary practice location

12TH Avenue NE
Hickory, NC 28601

Mailing address

813 Forestbrook Dr
Gastonia, NC 28056-7077
Phone (704) 678-7215

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
9431NCMDPharmacist
7349SCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1831593615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 FORESTBROOK DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280567077",
            "telephone_number": "704-678-7215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12TH AVENUE NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "28601",
            "telephone_number": "401-665-9765",
            "fax_number": "401-652-0281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLHEMUS",
        "first_name": "JOSEPHINE",
        "middle_name": "LOVELACE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-22",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "9431",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "7349",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.