Active NPI
Faranak Adeli
- Pharmacist
- Matthews, NC
National Provider Identifier
1962284612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18178
- Practice address
- 701 Crestdale Rd
Matthews, NC 28105-1700 - Phone
- (800) 432-6111
- NPI assigned
- Oct 17, 2023
- Last updated
- Oct 17, 2023
- Sex
- Female
- 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 | 18178 | MD | Primary |
Addresses
Primary practice location
701 Crestdale Rd
Matthews, NC 28105-1700
Mailing address
10908 Balantre LN
Potomac, MD 20854-1321
Phone (240) 472-1109
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 |
|---|---|---|---|
| 18178 | MD | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697500800000",
"number": "1962284612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10908 BALANTRE LN",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208541321",
"telephone_number": "240-472-1109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 CRESTDALE RD",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281051700",
"telephone_number": "800-432-6111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADELI",
"first_name": "FARANAK",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-17",
"last_updated": "2023-10-17",
"certification_date": "2023-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "18178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Matthews, NC
- Acts Retirement-Life Communities, Inc. (WillowBrooke Court SC Ctr at Matthews Glen)
- Acts Signature Community Services, Inc. (Primary Care Services at Matthews Glen)
- Donald P. Adams, DDS
- Samantha Adcock, PT
- Temiloluwa Adejuyigbe, MD, MPH
- Adio Associates Inc
- Tamara Adkins, PT
- Andrew C Adler, DPM
- Adult Day and Health Care Services, Inc. (Blessed Assurance Adult Day Care)
- Advanced Hair Growth Clinic, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.