Active NPI
Elizabeth M Ingram, PHARMD
- Pharmacist
- Travelers Rest, SC
National Provider Identifier
1215234463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12594
- Practice address
- 100 Little Texas Rd
Travelers Rest, SC 29690-9428 - Phone
- (864) 834-4451
- Fax
- (864) 834-5690
- NPI assigned
- Feb 24, 2011
- Last updated
- Apr 8, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 12594 | SC | Primary |
Addresses
Primary practice location
100 Little Texas Rd
Travelers Rest, SC 29690-9428
Mailing address
100 Little Texas Rd
Travelers RST, SC 29690-9428
Phone (864) 834-4451
Other practice location 1
2198 Southport Rd
Spartanburg, SC 29306-6258
Phone (864) 582-5822
Other practice location 2
1630 Red Bank Rd
Goose Creek, SC 29445-4588
Phone (843) 553-7876
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12594 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 4
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": "1298505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523145600000",
"number": "1215234463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 LITTLE TEXAS RD",
"city": "TRAVELERS RST",
"state": "SC",
"postal_code": "296909428",
"telephone_number": "864-834-4451",
"fax_number": "864-834-5690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 LITTLE TEXAS RD",
"city": "TRAVELERS REST",
"state": "SC",
"postal_code": "296909428",
"telephone_number": "864-834-4451",
"fax_number": "864-834-5690"
}
],
"practiceLocations": [
{
"address_1": "2198 Southport Rd",
"address_purpose": "LOCATION",
"city": "Spartanburg",
"state": "SC",
"postal_code": "293066258",
"country_code": "US",
"telephone_number": "864-582-5822",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1630 Red Bank Rd",
"address_purpose": "LOCATION",
"city": "Goose Creek",
"state": "SC",
"postal_code": "294454588",
"country_code": "US",
"telephone_number": "843-553-7876",
"fax_number": "843-553-3545",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "INGRAM",
"first_name": "ELIZABETH",
"middle_name": "M",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-24",
"last_updated": "2018-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "12594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Travelers Rest, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.