Active NPI
David Meno
- Pharmacist
- Loris, SC
National Provider Identifier
1083203335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9191
- Practice address
- 4767 Broad St
Loris, SC 29569-2425 - Phone
- (843) 716-1220
- NPI assigned
- Jan 12, 2021
- 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 | 9191 | SC | Primary |
Addresses
Primary practice location
4767 Broad St
Loris, SC 29569-2425
Mailing address
4767 Broad St
Loris, SC 29569-2425
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 |
|---|---|---|---|
| 9191 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Carolina CVS Pharmacy LLC | Past | Accepting new patients | |
| South Carolina CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610409600000",
"number": "1083203335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4767 BROAD ST",
"city": "LORIS",
"state": "SC",
"postal_code": "295692425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4767 BROAD ST",
"city": "LORIS",
"state": "SC",
"postal_code": "295692425",
"telephone_number": "843-716-1220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENO",
"first_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-12",
"last_updated": "2021-01-12",
"certification_date": "2021-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "9191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Loris, SC
- McLeod Physician Associates II (Barrett Internal Medicine)
- McLeod Physician Associates II (McLeod Pediatric Associates)
- McLeod Regional Medical Center of the Pee Dee, Inc (Southern Medical Associates)
- McLeod Regional Medical Center of the Pee Dee, Inc (McLeod Cardiology Associates Loris)
- Meds & More LLC (Sherry's Meds & More Pharmacy)
- Melissa Ann Miara, D.O.
- Michael L Mills, OD
- Timothy C Mills, M.D.
- Michael J Mitchell, MD
- James N Moore III, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.