Active NPI
Kelly Susan Larkin
- Pharmacy Technician
- Greer, SC
National Provider Identifier
1114072576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 23882
- Practice address
- 109 N Main St
Greer, SC 29650-1921 - Phone
- (864) 877-0753
- Fax
- (864) 877-5171
- NPI assigned
- Jan 24, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 23882 | SC | Primary |
Addresses
Primary practice location
109 N Main St
Greer, SC 29650-1921
Mailing address
6 Rollingreen Rd
Greer, SC 29651-5975
Phone (864) 320-1264
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10-03095 | Other | SC | SCDHEC-BUREAU OF DRUG CON |
| 730956 | Medicaid | SC |
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 |
|---|---|---|---|
| 23882 | SC | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeskey-Todd | Past | Accepting new patients | |
| McLeskey-Todd Pharmacy of Greer Inc | Past | Accepting new patients | |
| McLeskey-Todd Pharmacy of Greer Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Pharmacy
- Greer, SC
- NPI 1104970474
-
- Durable Medical Equipment & Medical Supplies
- Greer, SC
- NPI 1326172016
-
- Community/Retail Pharmacy
- Greer, SC
- NPI 1962486696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1114072576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 ROLLINGREEN RD",
"city": "GREER",
"state": "SC",
"postal_code": "296515975",
"telephone_number": "864-320-1264"
},
{
"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",
"fax_number": "864-877-5171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARKIN",
"first_name": "KELLY",
"middle_name": "SUSAN",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-24",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "SC",
"license": "23882",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SCDHEC-BUREAU OF DRUG CON",
"identifier": "10-03095",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "730956",
"state": "SC"
}
],
"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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.