Individual provider Active NPI

Dorothy Lee Spencer, PHARMD

  • Pharmacist
  • South Charleston, WV
National Provider Identifier
1952682965
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP0007609 Issued in WV
Practice address
2700 Mountaineer Blvd
South Charleston, WV 25309-9442
Phone
(304) 746-1725
Fax
(304) 746-1727
NPI assigned
Sep 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP0007609 WV Primary

Addresses

Primary practice location

2700 Mountaineer Blvd
South Charleston, WV 25309-9442

Mailing address

2700 Mountaineer Blvd
South Charleston, WV 25309-9442
Phone (304) 746-1725

Other practice location 1

932 Cross Lanes Dr
Cross Lanes, WV 25313-1315
Phone (304) 776-3276

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

LicenseStateTypeSpecialty
RP0007609WVMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1952682965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 MOUNTAINEER BLVD",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253099442",
            "telephone_number": "304-746-1725",
            "fax_number": "304-746-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 MOUNTAINEER BLVD",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253099442",
            "telephone_number": "304-746-1725",
            "fax_number": "304-746-1727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "932 Cross Lanes Dr",
            "address_purpose": "LOCATION",
            "city": "Cross Lanes",
            "state": "WV",
            "postal_code": "253131315",
            "country_code": "US",
            "telephone_number": "304-776-3276",
            "fax_number": "304-776-2108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "DOROTHY",
        "middle_name": "LEE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-02",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0007609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.

Verify at the official NPI Registry.