Active NPI
John Leroy Steele Jr.
- Pharmacist
- Roebuck, SC
National Provider Identifier
1124036603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3721
- Practice address
- 4795 S Church Street Ext
Roebuck, SC 29376-3202 - Phone
- (864) 595-1220
- Fax
- (864) 595-1433
- NPI assigned
- Aug 3, 2006
- 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 | 3721 | SC | Primary |
Addresses
Primary practice location
4795 S Church Street Ext
Roebuck, SC 29376-3202
Mailing address
583 Old Iron Works Rd
Spartanburg, SC 29302-4452
Phone (864) 598-9457
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4225769 | Other | SC | NCPDP |
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 |
|---|---|---|---|
| 3721 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124036603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "583 OLD IRON WORKS RD",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293024452",
"telephone_number": "864-598-9457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4795 S CHURCH STREET EXT",
"city": "ROEBUCK",
"state": "SC",
"postal_code": "293763202",
"telephone_number": "864-595-1220",
"fax_number": "864-595-1433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEELE",
"first_name": "JOHN",
"middle_name": "LEROY",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "3721",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "4225769",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roebuck, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.