Active NPI
James Andrew Caudill, RPH
- Pharmacist
- Granite Quarry, NC
National Provider Identifier
1902239676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12109
- Practice address
- 110 E Bank St
Granite Quarry, NC 28072 - Phone
- (704) 279-2579
- Fax
- (704) 209-3506
- NPI assigned
- Aug 16, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 | 12109 | NC | Primary |
Addresses
Primary practice location
110 E Bank St
Granite Quarry, NC 28072
Mailing address
PO Box 887
Granite Quarry, NC 28072-0887
Phone (704) 279-2579
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 |
|---|---|---|---|
| 12109 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J & a McPharmacy Inc | Current | Accepting new patients |
Organizations & group practices 1
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
- Granite Quarry, NC
- NPI 1174860993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376611200000",
"number": "1902239676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 887",
"city": "GRANITE QUARRY",
"state": "NC",
"postal_code": "280720887",
"telephone_number": "704-279-2579",
"fax_number": "704-209-3506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 E BANK ST",
"city": "GRANITE QUARRY",
"state": "NC",
"postal_code": "28072",
"telephone_number": "704-279-2579",
"fax_number": "704-209-3506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAUDILL",
"first_name": "JAMES",
"middle_name": "ANDREW",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-16",
"last_updated": "2013-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "12109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Granite Quarry, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.