Active NPI
Courtney Izzo Jarvis, PHARMD
- Pharmacist
- Mount Pleasant, SC
National Provider Identifier
1225550437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 37115
- Practice address
- 1952 Long Grove Dr Ste 5
Mount Pleasant, SC 29464-7579 - Phone
- (843) 654-4013
- Fax
- (843) 654-4014
- NPI assigned
- Jul 10, 2017
- 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 | 37115 | SC | Primary |
Addresses
Primary practice location
1952 Long Grove Dr Ste 5
Mount Pleasant, SC 29464-7579
Mailing address
2028 Brick Kiln Pkwy
Mount Pleasant, SC 29466-8759
Phone (774) 239-4883
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 |
|---|---|---|---|
| 37115 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sweetgrass Pharmacy & Compounding LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Mt Pleasant, SC
- NPI 1669889374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561939200000",
"number": "1225550437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2028 BRICK KILN PKWY",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294668759",
"telephone_number": "774-239-4883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1952 LONG GROVE DR STE 5",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294647579",
"telephone_number": "843-654-4013",
"fax_number": "843-654-4014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARVIS",
"first_name": "COURTNEY",
"middle_name": "IZZO",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-10",
"last_updated": "2019-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "37115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.