Active NPI
Jason Ryan Atkinson, RPH
- Pharmacist
- Raleigh, NC
National Provider Identifier
1831685007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 27760
- Practice address
- 4408 New Bern Ave
Raleigh, NC 27610-1444 - Phone
- (919) 231-6419
- NPI assigned
- Jul 10, 2018
- Last updated
- Jul 10, 2018
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 27760 | NC | Primary |
Addresses
Primary practice location
4408 New Bern Ave
Raleigh, NC 27610-1444
Mailing address
6030 Bacarra LN Apt 207
Raleigh, NC 27606-5825
Phone (336) 905-0907
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 |
|---|---|---|---|
| 27760 | NC | MD | Pharmacist |
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, 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": "1531180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531180800000",
"number": "1831685007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6030 BACARRA LN APT 207",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276065825",
"telephone_number": "336-905-0907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4408 NEW BERN AVE",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276101444",
"telephone_number": "919-231-6419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATKINSON",
"first_name": "JASON",
"middle_name": "RYAN",
"name_prefix": "Dr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-10",
"last_updated": "2018-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "27760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.