Individual provider Active NPI

Gregory Samuel Lula, RPH

  • Pharmacist
  • Ridgeland, SC
National Provider Identifier
1255641718
Registry record updated Oct 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
9775 Issued in SC
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, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2013

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PCT0005692CTMDPharmacist
RPH021123GAMDPharmacist
26013139AINMDPharmacist
17522NCMDPharmacist
9775SCMDPharmacist
49203TXMDPharmacist

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

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.

Verify at the official NPI Registry.