Active NPI
Antonia M. Maurer
- Pharmacist
- Columbia, SC
National Provider Identifier
1154627701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3905
- Practice address
- 1501 Broad River Rd
Columbia, SC 29210-7301 - Phone
- (803) 561-0515
- NPI assigned
- Jan 30, 2011
- Sex
- Female
- 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 | 3905 | SC | Primary |
Addresses
Primary practice location
1501 Broad River Rd
Columbia, SC 29210-7301
Mailing address
143 Latonea Dr
Columbia, SC 29210-7572
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 |
|---|---|---|---|
| 3905 | SC | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296345600000",
"number": "1154627701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "143 LATONEA DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292107572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 BROAD RIVER RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292107301",
"telephone_number": "803-561-0515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAURER",
"first_name": "ANTONIA",
"middle_name": "M.",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-30",
"last_updated": "2011-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "3905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.