Individual provider Active NPI

Angela G. Waddell, CPT

  • Pharmacy Technician
  • Jonesville, NC
National Provider Identifier
1881998433
Registry record updated Dec 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
20945 Issued in NC
Practice address
450 Winston Rd
Jonesville, NC 28642-2255
Phone
(336) 835-6407
Fax
(336) 526-8329
NPI assigned
Dec 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 20945 NC Primary

Addresses

Primary practice location

450 Winston Rd
Jonesville, NC 28642-2255

Mailing address

450 Winston Rd
Jonesville, NC 28642-2255
Phone (336) 835-6407

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

LicenseStateTypeSpecialty
20945NCMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1292976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292976000000",
    "number": "1881998433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 WINSTON RD",
            "city": "JONESVILLE",
            "state": "NC",
            "postal_code": "286422255",
            "telephone_number": "336-835-6407",
            "fax_number": "336-526-8329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 WINSTON RD",
            "city": "JONESVILLE",
            "state": "NC",
            "postal_code": "286422255",
            "telephone_number": "336-835-6407",
            "fax_number": "336-526-8329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADDELL",
        "first_name": "ANGELA",
        "middle_name": "G.",
        "name_prefix": "Ms.",
        "credential": "CPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-22",
        "last_updated": "2010-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "NC",
            "license": "20945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; 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.