Individual provider Active NPI

Timothy Addison Sloan, PHARMD

  • Pharmacist
  • Lyman, SC
National Provider Identifier
1164947222
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
37144 Issued in SC
Practice address
204 Spartanburg Hwy
Lyman, SC 29365-1808
Phone
(864) 439-6127
Fax
(864) 439-9753
NPI assigned
Aug 10, 2017
Last updated
Sep 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 37144 SC Primary

Addresses

Primary practice location

204 Spartanburg Hwy
Lyman, SC 29365-1808

Mailing address

204 Spartanburg Hwy
Lyman, SC 29365-1808
Phone (864) 439-6127

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
37144SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Lyman Drug, Inc. CurrentSince Sep 3, 2025 Accepting new patients
Professional Pharmacy of Greer, Inc PastSince Jul 1, 2022 Accepting new patients
Professional Pharmacy of Greer, Inc PastSince Jul 1, 2022 Accepting new patients

Locations

204 Spartanburg Hwy
Lyman, SC 29365
Phone (864) 439-6127

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1164947222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 SPARTANBURG HWY",
            "city": "LYMAN",
            "state": "SC",
            "postal_code": "293651808",
            "telephone_number": "864-439-6127",
            "fax_number": "864-439-9753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 SPARTANBURG HWY",
            "city": "LYMAN",
            "state": "SC",
            "postal_code": "293651808",
            "telephone_number": "864-439-6127",
            "fax_number": "864-439-9753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOAN",
        "first_name": "TIMOTHY",
        "middle_name": "ADDISON",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-10",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "37144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyman, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.