Active NPI
Jordan Dunlap, PHARMD.
- Pharmacist
- Greensboro, NC
National Provider Identifier
1942830237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28940
- Practice address
- 803 Friendly Center Rd Ste C
Greensboro, NC 27408-2024 - Phone
- (336) 292-6888
- NPI assigned
- Jan 25, 2020
- Last updated
- Jan 25, 2020
- Sex
- Female
- 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 | 28940 | NC | Primary |
Addresses
Primary practice location
803 Friendly Center Rd Ste C
Greensboro, NC 27408-2024
Mailing address
185 Cliffwood Dr
Kernersville, NC 27284-9278
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28940 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gate City Pharmacy Inc | Past | 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.
-
dba Gate City Pharmacy
- Community/Retail Pharmacy
- Greensboro, NC
- NPI 1407843584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579910400000",
"number": "1942830237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 CLIFFWOOD DR",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "272849278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803 FRIENDLY CENTER RD STE C",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274082024",
"telephone_number": "336-292-6888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNLAP",
"first_name": "JORDAN",
"credential": "PHARMD.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-25",
"last_updated": "2020-01-25",
"certification_date": "2020-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "28940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.