Active NPI
David Henry Dunson, R.PH., CDE, MBA
- Pharmacist
- Princeton, WV
National Provider Identifier
1891391058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP0005267
- Practice address
- 112 Tumblewood Rd
Princeton, WV 24739-5600 - Phone
- (304) 862-2105
- Fax
- (304) 862-2107
- NPI assigned
- Dec 11, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | 20520130 | WV | |
| Pharmacist | 183500000X | RP0005267 | WV | Primary |
Addresses
Primary practice location
112 Tumblewood Rd
Princeton, WV 24739-5600
Mailing address
PO Box 397
Northfork, WV 24868-0397
Phone (304) 862-2105
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | QS/1 |
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
- Master of Business Administration, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20520130 | WV | MD | Diabetes Educator Registered Nurse |
| RP0005267 | WV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Black Diamond Pharmacy, LLC | Current | Accepting new patients | |
| Welch Pharmacy Inc | Current | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Northfork, WV
- NPI 1558444026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607644800000",
"number": "1891391058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 397",
"city": "NORTHFORK",
"state": "WV",
"postal_code": "248680397",
"telephone_number": "304-862-2105",
"fax_number": "304-862-2107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 TUMBLEWOOD RD",
"city": "PRINCETON",
"state": "WV",
"postal_code": "247395600",
"telephone_number": "304-862-2105",
"fax_number": "304-862-2107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNSON",
"first_name": "DAVID",
"middle_name": "HENRY",
"name_prefix": "Mr.",
"credential": "R.PH., CDE, MBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-11",
"last_updated": "2020-12-11",
"certification_date": "2020-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "WV",
"license": "20520130",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0005267",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "QS/1",
"affiliation": "N",
"endpointDescription": "POWERLINE",
"address_1": "33800 COAL HERITAGE ROAD",
"city": "NORTHFORK",
"state": "WV",
"country_code": "US",
"postal_code": "24868",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Princeton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.