Active NPI
Laura Draper Rexroad, PHARM D
- Pharmacist
- Aiken, SC
National Provider Identifier
1235473463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11873
- Practice address
- 2062 Whiskey Rd
Aiken, SC 29803-6183 - Phone
- (803) 648-2339
- Fax
- (803) 502-0971
- NPI assigned
- Nov 10, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11873 | SC | Primary |
| Pharmacist | 183500000X | RPH024705 | GA | |
| Pharmacist | 183500000X | 0202208983 | VA |
Addresses
Primary practice location
2062 Whiskey Rd
Aiken, SC 29803-6183
Mailing address
2062 Whiskey Rd
Aiken, SC 29803-6183
Phone (803) 648-2339
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 |
|---|---|---|---|
| RPH024705 | GA | MD | Pharmacist |
| 0202208983 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352505600000",
"number": "1235473463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2062 WHISKEY RD",
"city": "AIKEN",
"state": "SC",
"postal_code": "298036183",
"telephone_number": "803-648-2339",
"fax_number": "803-502-0971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2062 WHISKEY RD",
"city": "AIKEN",
"state": "SC",
"postal_code": "298036183",
"telephone_number": "803-648-2339",
"fax_number": "803-502-0971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REXROAD",
"first_name": "LAURA",
"middle_name": "DRAPER",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-10",
"last_updated": "2012-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "11873",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH024705",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202208983",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aiken, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.