Active NPI
Larry George Hanna, RPH
- Pharmacist
- Moore, SC
National Provider Identifier
1104716380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 43318
- Practice address
- 5895 Reidville Rd
Moore, SC 29369-8409 - Phone
- (864) 486-6990
- NPI assigned
- Jul 8, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 | 43318 | SC | Primary |
Addresses
Primary practice location
5895 Reidville Rd
Moore, SC 29369-8409
Mailing address
220 W Lakeview Dr
Duncan, SC 29334-9466
Phone (904) 463-1957
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43318 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751932800000",
"number": "1104716380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 W LAKEVIEW DR",
"city": "DUNCAN",
"state": "SC",
"postal_code": "293349466",
"telephone_number": "904-463-1957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5895 REIDVILLE RD",
"city": "MOORE",
"state": "SC",
"postal_code": "293698409",
"telephone_number": "864-486-6990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNA",
"first_name": "LARRY",
"middle_name": "GEORGE",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-07-08",
"last_updated": "2025-07-08",
"certification_date": "2025-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "SC",
"license": "43318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moore, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.