Active NPI
John Barnwell Summerlin, RPH
- Pharmacist
- North Charleston, SC
National Provider Identifier
1033133871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4271
- Practice address
- 9275 Medical Plaza Dr Ste a
North Charleston, SC 29406-9140 - Phone
- (843) 266-6095
- Fax
- (843) 797-3637
- NPI assigned
- Jul 26, 2006
- 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 | 4271 | SC | Primary |
Addresses
Primary practice location
9275 Medical Plaza Dr Ste a
North Charleston, SC 29406-9140
Mailing address
103 Bromwich Dr
Goose Creek, SC 29445-7127
Phone (843) 910-0649
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4271 | SC | MD | Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TPC Pharmacy, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1033133871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 BROMWICH DR",
"city": "GOOSE CREEK",
"state": "SC",
"postal_code": "294457127",
"telephone_number": "843-910-0649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9275 MEDICAL PLAZA DR STE A",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294069140",
"telephone_number": "843-266-6095",
"fax_number": "843-797-3637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMERLIN",
"first_name": "JOHN",
"middle_name": "BARNWELL",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "4271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.