Active NPI
Jose Flores
- Pharmacist
- Johns Island, SC
National Provider Identifier
1033834189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 43697
- Practice address
- 3575 Maybank Hwy
Johns Island, SC 29455-4823 - Phone
- (843) 559-0328
- NPI assigned
- Oct 11, 2022
- Last updated
- Oct 11, 2022
- 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 | 43697 | SC | Primary |
Addresses
Primary practice location
3575 Maybank Hwy
Johns Island, SC 29455-4823
Mailing address
1853 Headquarters Plantation Dr
Johns Island, SC 29455-3140
Phone (813) 447-6794
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 |
|---|---|---|---|
| 43697 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665446400000",
"number": "1033834189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1853 HEADQUARTERS PLANTATION DR",
"city": "JOHNS ISLAND",
"state": "SC",
"postal_code": "294553140",
"telephone_number": "813-447-6794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3575 MAYBANK HWY",
"city": "JOHNS ISLAND",
"state": "SC",
"postal_code": "294554823",
"telephone_number": "843-559-0328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORES",
"first_name": "JOSE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-10-11",
"last_updated": "2022-10-11",
"certification_date": "2022-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "43697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johns Island, SC
- Fetter Health Care Network Inc (Fetter Health Care Network-Johns Island Site)
- Fetter Health Care Network Inc (Fetter Health Care Network-Fields Farm Migrant Camp Location)
- Fetter Health Care Network Inc (Fetter Health Care Network-Brown Migrant Camp Location)
- Fetter Health Care Network, Inc. (Fetter Health Care Network-Jenkins Migrant Camp Location)
- Andrew Clarke Flandry, MD
- Sumaya C Florez
- Foundation Physiotherapy LLC
- Franklin C. Fetter Family Health Center, Inc (Rural Mission Migrant Site-Johns Island)
- Ladawn Frasier, LMT, DOULA, CHHP
- Jacquelyn Paige French, APRN, BC,RN,CS,NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.