Active NPI
Travis Webster
- Pharmacist
- Raleigh, NC
National Provider Identifier
1962000711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 30061
- Practice address
- 2838 Wake Forest Rd
Raleigh, NC 27609-7840 - Phone
- (919) 755-2810
- Fax
- (919) 755-2807
- NPI assigned
- Oct 14, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 30061 | NC | Primary |
Addresses
Primary practice location
2838 Wake Forest Rd
Raleigh, NC 27609-7840
Mailing address
467 Chatham Dr
Chapel Hill, NC 27516-8691
Phone (919) 260-6634
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 |
|---|---|---|---|
| 30061 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602633600000",
"number": "1962000711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "467 CHATHAM DR",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275168691",
"telephone_number": "919-260-6634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2838 WAKE FOREST RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097840",
"telephone_number": "919-755-2810",
"fax_number": "919-755-2807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBSTER",
"first_name": "TRAVIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-14",
"last_updated": "2020-10-14",
"certification_date": "2020-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "30061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.