Active NPI
Robert Gary Stewart Jr., PHARMD
- Pharmacist
- Gaston, SC
National Provider Identifier
1093440232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 43543
- Practice address
- 1118 Mack St
Gaston, SC 29053-8713 - Phone
- (803) 939-8489
- NPI assigned
- Jul 21, 2022
- 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 | 43543 | SC | Primary |
Addresses
Primary practice location
1118 Mack St
Gaston, SC 29053-8713
Mailing address
228 Meadow Crest Dr
West Columbia, SC 29172-2051
Phone (803) 873-0827
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 |
|---|---|---|---|
| 43543 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1093440232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 MEADOW CREST DR",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291722051",
"telephone_number": "803-873-0827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1118 MACK ST",
"city": "GASTON",
"state": "SC",
"postal_code": "290538713",
"telephone_number": "803-939-8489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "ROBERT",
"middle_name": "GARY",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-21",
"last_updated": "2022-07-21",
"certification_date": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "43543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gaston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.