Individual provider Active NPI

Travis Bryan Oliver, PHARMACIST PHARM D

  • Pharmacist
  • Greer, SC
National Provider Identifier
1104809441
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
011237 Issued in SC
Practice address
109 N Main St
Greer, SC 29650-1921
Phone
(864) 877-0753
NPI assigned
Nov 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 011237 SC Primary
Pharmacist 183500000X 22941 NC

Addresses

Primary practice location

109 N Main St
Greer, SC 29650-1921

Mailing address

109 N Main St
Greer, SC 29650-1921
Phone (864) 877-0753

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

LicenseStateTypeSpecialty
22941NCMDPharmacist
011237SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
McLeskey-Todd Pharmacy of Greer Inc PastSince Oct 13, 2019 Accepting new patients
McLeskey-Todd Pharmacy of Greer Inc 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1104809441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 N MAIN ST",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501921",
            "telephone_number": "864-877-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N MAIN ST",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501921",
            "telephone_number": "864-877-0753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "TRAVIS",
        "middle_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "PHARMACIST PHARM D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "011237",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "22941",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greer, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.