Active NPI
Elliott M. Giffen II, RPH
- Pharmacist
- Charlotte, NC
National Provider Identifier
1982949905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4615
- Practice address
- 2334 South Blvd
Charlotte, NC 28203-5008 - Phone
- (704) 523-8608
- Fax
- (704) 523-8619
- NPI assigned
- Dec 3, 2012
- 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 | 4615 | NC | Primary |
Addresses
Primary practice location
2334 South Blvd
Charlotte, NC 28203-5008
Mailing address
2334 South Blvd
Charlotte, NC 28203-5008
Phone (704) 523-8608
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4615 | Other | NC | N.C. BOARD OF PHARMACY |
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
- Registered Pharmacist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354492800000",
"number": "1982949905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2334 SOUTH BLVD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282035008",
"telephone_number": "704-523-8608",
"fax_number": "704-523-8619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2334 SOUTH BLVD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282035008",
"telephone_number": "704-523-8608",
"fax_number": "704-523-8619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIFFEN",
"first_name": "ELLIOTT",
"middle_name": "M.",
"name_suffix": "II",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-12-03",
"last_updated": "2012-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "4615",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "N.C. BOARD OF PHARMACY",
"identifier": "4615",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.