Individual provider Active NPI

Terry B Netherton, RPH

  • Pharmacist
  • Spartanburg, SC
National Provider Identifier
1073544797
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
3837 Issued in SC
Practice address
201 W Saint John St
Spartanburg, SC 29306-2336
Phone
(864) 253-8600
Fax
(864) 253-8690
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 3837 SC Primary

Addresses

Primary practice location

201 W Saint John St
Spartanburg, SC 29306-2336

Mailing address

117 Andre Dr
Wellford, SC 29385-9300
Phone (864) 439-2996

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

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073544797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 ANDRE DR",
            "city": "WELLFORD",
            "state": "SC",
            "postal_code": "293859300",
            "telephone_number": "864-439-2996",
            "fax_number": "864-253-8690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W SAINT JOHN ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293062336",
            "telephone_number": "864-253-8600",
            "fax_number": "864-253-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NETHERTON",
        "first_name": "TERRY",
        "middle_name": "B",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "3837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.