Active NPI
Cailin Lutz, PHARMD
- Pharmacotherapy Pharmacist
- Johns Island, SC
National Provider Identifier
1063808673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 11223
- Practice address
- 4105 E Amy LN
Johns Island, SC 29455-8178 - Phone
- (803) 319-4863
- NPI assigned
- Apr 9, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 11223 | SC | Primary |
| Pharmacotherapy Pharmacist | 1835P1200X | RPH022200 | GA |
Addresses
Primary practice location
4105 E Amy LN
Johns Island, SC 29455-8178
Mailing address
4105 E Amy LN
Johns Island, SC 29455-8178
Phone (803) 319-4863
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 |
|---|---|---|---|
| RPH022200 | GA | MD | Pharmacotherapy Pharmacist |
| 11223 | SC | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428537600000",
"number": "1063808673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4105 E AMY LN",
"city": "JOHNS ISLAND",
"state": "SC",
"postal_code": "294558178",
"telephone_number": "803-319-4863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4105 E AMY LN",
"city": "JOHNS ISLAND",
"state": "SC",
"postal_code": "294558178",
"telephone_number": "803-319-4863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTZ",
"first_name": "CAILIN",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-09",
"last_updated": "2015-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "SC",
"license": "11223",
"primary": true
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "GA",
"license": "RPH022200",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johns Island, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.