Active NPI
Sharon Lynn Glass
- Pharmacist
- Pacolet, SC
National Provider Identifier
1124343603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6142
- Practice address
- 6950 South Pine Street
Pacolet, SC 29372 - Phone
- (864) 474-1145
- NPI assigned
- Mar 29, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 6142 | SC | Primary |
Addresses
Primary practice location
6950 South Pine Street
Pacolet, SC 29372
Mailing address
561 Pineland Rd
Union, SC 29379-9775
Phone (864) 429-9861
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 |
|---|---|---|---|
| 6142 | SC | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269820800000",
"number": "1124343603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "561 PINELAND RD",
"city": "UNION",
"state": "SC",
"postal_code": "293799775",
"telephone_number": "864-429-9861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6950 SOUTH PINE STREET",
"city": "PACOLET",
"state": "SC",
"postal_code": "29372",
"telephone_number": "864-474-1145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASS",
"first_name": "SHARON",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-29",
"last_updated": "2010-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "6142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pacolet, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.