Nicholas James Porter, PHARMD

Individual provider Active NPI Pharmacist · Williamston, SC

NPI 1063390367 · NPPES record last updated Aug 25, 2025

Key facts

NPI
1063390367
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
SC12728 (SC)
Practice address
201 E Main St
Williamston, SC 29697-1910
Phone
(864) 847-9071
NPI assigned
Aug 25, 2025
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
SC12728SCMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X SC12728 SC Yes

Addresses

Primary practice location

201 E Main St
Williamston, SC 29697-1910

Mailing address

121 Martin CT
Williamston, SC 29697-9525
Phone (864) 556-5966

Other providers in Williamston, SC

All providers in Williamston, SC · Pharmacist in South Carolina

Sources for this page

Verify at the official NPI Registry.