NPIMap

Organization Active NPI

KJ Pharmacy

  • Pharmacist
  • Lake City, SC
National Provider Identifier
1063817211
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
7213 Issued in SC
Legal business name
KJ PHARMACY
Practice address
240 Kelley St
Lake City, SC 29560-2416
Phone
(843) 374-1110
NPI assigned
Oct 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Spencer Player
Title
Pharmacist in Charge
Phone
(843) 374-2963

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 7213 SC Primary

Addresses

Primary practice location

240 Kelley St
Lake City, SC 29560-2416

Mailing address

240 Kelley St
Lake City, SC 29560-2416
Phone (843) 374-1110

National Provider Directory

National Provider Directory
Tax ID family
KJ Pharmacy4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1063817211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 KELLEY ST",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295602416",
            "telephone_number": "843-374-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 KELLEY ST",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295602416",
            "telephone_number": "843-374-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KJ PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "PLAYER",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "843-374-2963"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "7213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.