Active NPI
Jennifer L Kovacs
- Pharmacist
- Greer, SC
National Provider Identifier
1174821037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10617
- Practice address
- 101 Dales CT
Greer, SC 29650-2716 - Phone
- (864) 607-2823
- NPI assigned
- Mar 2, 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 | 10617 | SC | Primary |
Addresses
Primary practice location
101 Dales CT
Greer, SC 29650-2716
Mailing address
101 W Wade Hampton Blvd
Greer, SC 29650-1651
Phone (864) 968-1947
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10617 | Other | SC | SC RPH |
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 |
|---|---|---|---|
| 10617 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299024000000",
"number": "1174821037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 W WADE HAMPTON BLVD",
"city": "GREER",
"state": "SC",
"postal_code": "296501651",
"telephone_number": "864-968-1947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 DALES CT",
"city": "GREER",
"state": "SC",
"postal_code": "296502716",
"telephone_number": "864-607-2823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOVACS",
"first_name": "JENNIFER",
"middle_name": "L",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-02",
"last_updated": "2011-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "10617",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SC RPH",
"identifier": "10617",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greer, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.