Individual provider Active NPI

Jennifer C Henzler, PHARM. D

  • Pharmacist
  • Cayce, SC
National Provider Identifier
1194989707
Registry record updated Jul 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
10096 Issued in SC
Practice address
300 Knox Abbott Dr
Cayce, SC 29033-4395
Phone
(803) 926-8756
Fax
(803) 926-8754
NPI assigned
Jul 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 10096 SC Primary

Addresses

Primary practice location

300 Knox Abbott Dr
Cayce, SC 29033-4395

Mailing address

1086 Main St
Pelion, SC 29123-9082
Phone (803) 606-5398

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

NPI Registry JSON

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

{
    "created_epoch": "1215820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215820800000",
    "number": "1194989707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 MAIN ST",
            "city": "PELION",
            "state": "SC",
            "postal_code": "291239082",
            "telephone_number": "803-606-5398",
            "fax_number": "803-926-8754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 KNOX ABBOTT DR",
            "city": "CAYCE",
            "state": "SC",
            "postal_code": "290334395",
            "telephone_number": "803-926-8756",
            "fax_number": "803-926-8754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENZLER",
        "first_name": "JENNIFER",
        "middle_name": "C",
        "credential": "PHARM. D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-12",
        "last_updated": "2008-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "10096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayce, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2008; 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.