Active NPI
Nathan Lee Ikner
- Pharmacist
- Charlotte, NC
National Provider Identifier
1861820110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11368
- Practice address
- 4390 Colwick Rd
Charlotte, NC 28211-2310 - Phone
- (704) 364-3444
- Fax
- (704) 364-1320
- NPI assigned
- Oct 24, 2013
- 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 | 11368 | NC | Primary |
Addresses
Primary practice location
4390 Colwick Rd
Charlotte, NC 28211-2310
Mailing address
4390 Colwick Rd
Charlotte, NC 28211-2310
Phone (704) 364-3444
Other names 1
- Mr. Nathan Lee Ikner
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 |
|---|---|---|---|
| 11368 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382572800000",
"number": "1861820110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4390 COLWICK RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282112310",
"telephone_number": "704-364-3444",
"fax_number": "704-364-1320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4390 COLWICK RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282112310",
"telephone_number": "704-364-3444",
"fax_number": "704-364-1320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IKNER",
"first_name": "NATHAN",
"middle_name": "LEE",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-10-24",
"last_updated": "2013-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "11368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NATHAN",
"last_name": "IKNER",
"middle_name": "LEE",
"prefix": "MR.",
"credential": "BSPHARRM",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.