Individual provider Active NPI

Phillip T Ward

  • Pharmacist
  • Whiteville, NC
National Provider Identifier
1962948836
Registry record updated Jan 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
05783 Issued in NC
Practice address
200 Columbus Corners Dr
Whiteville, NC 28472-4905
Phone
(910) 640-1893
Fax
(910) 640-2958
NPI assigned
Jan 16, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 05783 NC Primary

Addresses

Primary practice location

200 Columbus Corners Dr
Whiteville, NC 28472-4905

Mailing address

200 Columbus Corners Dr
Whiteville, NC 28472-4905
Phone (910) 640-1893

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

LicenseStateTypeSpecialty
05783NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1484524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484524800000",
    "number": "1962948836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 COLUMBUS CORNERS DR",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284724905",
            "telephone_number": "910-640-1893",
            "fax_number": "910-640-2958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 COLUMBUS CORNERS DR",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284724905",
            "telephone_number": "910-640-1893",
            "fax_number": "910-640-2958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "PHILLIP",
        "middle_name": "T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-16",
        "last_updated": "2017-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "05783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2017; 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.