Healthcare Provider Details

I. General information

NPI: 1225953821
Provider Name (Legal Business Name): GAVIN PIERCE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5520 WINNERS CIR
HOPE MILLS NC
28348-9358
US

IV. Provider business mailing address

5520 WINNERS CIR
HOPE MILLS NC
28348-9358
US

V. Phone/Fax

Practice location:
  • Phone: 910-920-7970
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number34923
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: