Active NPI
Gregory Samuel Lula, RPH
- Pharmacist
- Ridgeland, SC
National Provider Identifier
1255641718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9775
- Practice address
- 721 N Okatie Hwy # 170
Ridgeland, SC 29936-8276 - Phone
- (843) 304-1666
- Fax
- (843) 987-0023
- NPI assigned
- Oct 18, 2010
- Last updated
- Oct 9, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 49203 | TX | |
| Pharmacist | 183500000X | 26013139A | IN | |
| Pharmacist | 183500000X | PCT0005692 | CT | |
| Pharmacist | 183500000X | 17522 | NC | |
| Pharmacist | 183500000X | 9775 | SC | Primary |
| Pharmacist | 183500000X | RPH021123 | GA |
Addresses
Primary practice location
721 N Okatie Hwy # 170
Ridgeland, SC 29936-8276
Mailing address
55 E Morgan CT
Hilton Head Island, SC 29926-2052
Phone (843) 304-1666
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCT0005692 | CT | MD | Pharmacist |
| RPH021123 | GA | MD | Pharmacist |
| 26013139A | IN | MD | Pharmacist |
| 17522 | NC | MD | Pharmacist |
| 9775 | SC | MD | Pharmacist |
| 49203 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381276800000",
"number": "1255641718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 E MORGAN CT",
"city": "HILTON HEAD ISLAND",
"state": "SC",
"postal_code": "299262052",
"telephone_number": "843-304-1666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 N OKATIE HWY # 170",
"city": "RIDGELAND",
"state": "SC",
"postal_code": "299368276",
"telephone_number": "843-304-1666",
"fax_number": "843-987-0023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LULA",
"first_name": "GREGORY",
"middle_name": "SAMUEL",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-18",
"last_updated": "2013-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "49203",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26013139A",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT0005692",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "17522",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "9775",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH021123",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgeland, SC
- Live Oaks Physical Therapy
- Danielle Long, MASSAGE THERAPIST
- Robin Carroll Lonscak, PHARMD
- Low Country Surgical Assistants LLC
- Lowcountry Compounding Pharmacy
- Cheryl A Macias
- Magnolia Total Care, LLC
- Mah Heritage LLC (Heritage Pharmacy)
- Sherice Manuel, RT
- Margaret F Curtis (Family Health Care of Ridgeland)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.