Active NPI
Dwayne Preast
- Pharmacist
- Bethel, NC
National Provider Identifier
1912252982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10536
- Practice address
- 7433 Main St
Bethel, NC 27812 - Phone
- (252) 825-6331
- Fax
- (252) 825-2976
- NPI assigned
- Jul 17, 2012
- Last updated
- Jul 17, 2012
- 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 | 10536 | NC | Primary |
Addresses
Primary practice location
7433 Main St
Bethel, NC 27812
Mailing address
PO Box 428
Bethel, NC 27812-0428
Phone (252) 825-6331
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 |
|---|---|---|---|
| 10536 | NC | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PWP Medical 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, 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": "1342483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342483200000",
"number": "1912252982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 428",
"city": "BETHEL",
"state": "NC",
"postal_code": "278120428",
"telephone_number": "252-825-6331",
"fax_number": "252-825-2976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7433 MAIN ST",
"city": "BETHEL",
"state": "NC",
"postal_code": "27812",
"telephone_number": "252-825-6331",
"fax_number": "252-825-2976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREAST",
"first_name": "DWAYNE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-17",
"last_updated": "2012-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "10536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethel, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.