Individual provider Active NPI

Ethan Harrison Hammer, PHARMD

  • Pharmacist
  • Greensboro, NC
National Provider Identifier
1851818603
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
27229 Issued in NC
Practice address
1200 N Elm St RM 2C306
Greensboro, NC 27401-1004
Phone
(336) 832-8103
NPI assigned
Aug 23, 2017
Last updated
Mar 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 27229 NC Primary

Addresses

Primary practice location

1200 N Elm St RM 2C306
Greensboro, NC 27401-1004

Mailing address

1200 N Elm St RM 2C306
Greensboro, NC 27401-1004
Phone (336) 832-8103

Other practice location 1

401 W Decatur St
Madison, NC 27025-1913
Phone (336) 548-9618

Other practice location 2

301 E Wendover Ave Ste 115
Greensboro, NC 27401-1209
Phone (336) 272-7255

Other practice location 3

371 Nc 65
Reidsville, NC 27320-8881
Phone (336) 342-8193

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
27229NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
The Moses H Cone Memorial Hospital Operating Corporation PastSince Mar 12, 2024 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation PastSince Jul 1, 2022 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": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1851818603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N ELM ST RM 2C306",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011004",
            "telephone_number": "336-832-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N ELM ST RM 2C306",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011004",
            "telephone_number": "336-832-8103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 W Decatur St",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "NC",
            "postal_code": "270251913",
            "country_code": "US",
            "telephone_number": "336-548-9618",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 E Wendover Ave Ste 115",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274011209",
            "country_code": "US",
            "telephone_number": "336-272-7255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "371 Nc 65",
            "address_purpose": "LOCATION",
            "city": "Reidsville",
            "state": "NC",
            "postal_code": "273208881",
            "country_code": "US",
            "telephone_number": "336-342-8193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMMER",
        "first_name": "ETHAN",
        "middle_name": "HARRISON",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-23",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "27229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.