Active NPI
Lewis Traywick Till Jr.
- Pharmacist
- Orangeburg, SC
National Provider Identifier
1164597696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10331
- Practice address
- 165 Farmstead LN
Orangeburg, SC 29115-9731 - Phone
- (803) 707-4164
- NPI assigned
- Nov 21, 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 | 10331 | SC | Primary |
Addresses
Primary practice location
165 Farmstead LN
Orangeburg, SC 29115-9731
Mailing address
165 Farmstead LN
Orangeburg, SC 29115-9731
Phone (803) 707-4164
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 |
|---|---|---|---|
| 10331 | SC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164597696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 FARMSTEAD LN",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "291159731",
"telephone_number": "803-707-4164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 FARMSTEAD LN",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "291159731",
"telephone_number": "803-707-4164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TILL",
"first_name": "LEWIS",
"middle_name": "TRAYWICK",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "10331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orangeburg, 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.