Lauren Justine Mary Koller

Primary specialty

PharmacistTaxonomy code 183500000X

License

60482 Issued in SC

Practice address

7771 Palmetto Commerce Pkwy
North Charleston, SC 29420-8859

Phone

(843) 876-7074

Fax

(843) 876-0226

NPI assigned

Feb 4, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Medical University Hospital Authority

  dba MUSC- Mail Order Pharmacy

  • Mail Order Pharmacy
  • Charleston, SC
  • NPI 1497039390
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1134933864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7771 PALMETTO COMMERCE PKWY STE 404",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294208860",
            "telephone_number": "843-876-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7771 PALMETTO COMMERCE PKWY",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294208859",
            "telephone_number": "843-876-7074",
            "fax_number": "843-876-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLLER",
        "first_name": "LAUREN",
        "middle_name": "JUSTINE MARY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "60482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Knowles
• Courtney N Knox
• Dustin Craig Knutson, D.C.
• Lara Kobell, RN
• Madison Koelbl
• Craig Koniver, M.D.
• Alizatu Koroma, MD
• Anna Korovnikova, BCBA
• Kristin Faith Kovach, COTA
• Elizabeth Kowalski, CAA

• Pharmacist in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Pharmacist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.