Active NPI
Peter Champion
- Pharmacist
- Plymouth, NC
National Provider Identifier
1972931251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15680
- Practice address
- 454 US Highway 64 E
Plymouth, NC 27962-9593 - Phone
- (252) 793-9036
- Fax
- (252) 793-1006
- NPI assigned
- Oct 23, 2013
- Last updated
- Oct 23, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 15680 | NC | Primary |
| Pharmacist | 183500000X | 0202005045 | VA |
Addresses
Primary practice location
454 US Highway 64 E
Plymouth, NC 27962-9593
Mailing address
402 Lodge Rd
Washington, NC 27889-3131
Phone (757) 705-5044
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 |
|---|---|---|---|
| 15680 | NC | MD | Pharmacist |
| 0202005045 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382486400000",
"number": "1972931251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 LODGE RD",
"city": "WASHINGTON",
"state": "NC",
"postal_code": "278893131",
"telephone_number": "757-705-5044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "454 US HIGHWAY 64 E",
"city": "PLYMOUTH",
"state": "NC",
"postal_code": "279629593",
"telephone_number": "252-793-9036",
"fax_number": "252-793-1006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMPION",
"first_name": "PETER",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-10-23",
"last_updated": "2013-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "15680",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202005045",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, NC
- James Patrick Carter, PAC
- Centennial Housing & Community Services Corporation (Washington Regional Medical Center)
- Centennial Housing & Community Services Corporation (Plymouth Primary Care Rural Health Clinic)
- Centennial Housing & Community Services Corporation (Washington Regional Medical Center)
- Centennial Housing & Community Services Corporation (Washington Regional Medical Center)
- Changing Hearts Instead of Losing Lives, Inc
- Anne Elizabeth Charles, DNP, FNP-C, CNM
- Margaret Susan Cody, CRNA
- Community Alignments & Adjustments (Insights of NC)
- Chester Lee Conner, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.