Active NPI
Mekko Brown
- Pharmacist
- Laurens, SC
National Provider Identifier
1124635222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 42680
- Practice address
- 901 E Main St
Laurens, SC 29360-3636 - Phone
- (864) 984-1492
- NPI assigned
- Sep 23, 2020
- 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 | 42680 | SC | Primary |
Addresses
Primary practice location
901 E Main St
Laurens, SC 29360-3636
Mailing address
601 Resinwood Rd
Moncks Corner, SC 29461-3786
Phone (843) 964-4411
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 |
|---|---|---|---|
| 42680 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ingles Markets Inc | Past | Accepting new patients | |
| Ingles Markets 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.
-
- Community/Retail Pharmacy
- Laurens, SC
- NPI 1720192610
-
- Community/Retail Pharmacy
- Acworth, GA
- NPI 1023872108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600819200000",
"number": "1124635222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 RESINWOOD RD",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "294613786",
"telephone_number": "843-964-4411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 E MAIN ST",
"city": "LAURENS",
"state": "SC",
"postal_code": "293603636",
"telephone_number": "864-984-1492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "MEKKO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-23",
"last_updated": "2020-09-23",
"certification_date": "2020-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "42680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laurens, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.