Active NPI
Christian Casey Whittaker, PHARMD, CPP
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Waxhaw, NC
National Provider Identifier
1992270219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 700398
- Practice address
- 1602 Providence Rd S
Waxhaw, NC 28173-8314 - Phone
- (304) 320-1399
- NPI assigned
- Oct 12, 2018
- 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 | 28227 | NC | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 700398 | NC | Primary |
Addresses
Primary practice location
1602 Providence Rd S
Waxhaw, NC 28173-8314
Mailing address
1383 Whistling LN
York, SC 29745-7708
Other practice location 1
7940 Williams Pond Ln Ste 100
Charlotte, NC 28277-8410
Phone (980) 288-4860
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y | Other | Y |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Y |
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28227 | NC | MD | Pharmacist |
| 700398 | NC | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664928000000",
"number": "1992270219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1383 WHISTLING LN",
"city": "YORK",
"state": "SC",
"postal_code": "297457708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1602 PROVIDENCE RD S",
"city": "WAXHAW",
"state": "NC",
"postal_code": "281738314",
"telephone_number": "304-320-1399"
}
],
"practiceLocations": [
{
"address_1": "7940 Williams Pond Ln Ste 100",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282778410",
"country_code": "US",
"telephone_number": "980-288-4860",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITTAKER",
"first_name": "CHRISTIAN",
"middle_name": "CASEY",
"name_prefix": "Dr.",
"credential": "PHARMD, CPP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-12",
"last_updated": "2022-10-05",
"certification_date": "2022-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "28227",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "NC",
"license": "700398",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "Y",
"identifier": "Y",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Y",
"affiliation": "N",
"address_1": "1602 Providence Rd S",
"city": "Waxhaw",
"state": "NC",
"country_code": "US",
"postal_code": "281738314",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Waxhaw, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.