Individual provider Active NPI

Michael A Ouzts, RPH

  • Pharmacist
  • Manning, SC
National Provider Identifier
1114133220
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
6194 Issued in SC
Practice address
419 S Mill St
Manning, SC 29102
Phone
(803) 433-2212
Fax
(803) 433-2656
NPI assigned
May 15, 2007
Reactivated
Mar 15, 2017
Last updated
Mar 15, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 6194 SC Primary

Addresses

Primary practice location

419 S Mill St
Manning, SC 29102

Mailing address

419 S Mill St
Manning, SC 29102-2918
Phone (803) 433-2212

Other identifiers 1

IdentifierTypeStateIssuer
732512MedicaidSC

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

LicenseStateTypeSpecialty
6194SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Pharmacy Current Accepting new patients
Mill Street Drugs, Inc Pharmacist Current Accepting new patients

Locations

419 S Mill St
Manning, SC 29102
Phone (803) 433-2212

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": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1114133220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 S MILL ST",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "291022918",
            "telephone_number": "803-433-2212",
            "fax_number": "803-433-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 S MILL ST",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "29102",
            "telephone_number": "803-433-2212",
            "fax_number": "803-433-2656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUZTS",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2017-03-15",
        "deactivation_date": "2007-07-17",
        "reactivation_date": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "6194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "732512",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manning, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; 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.