Active NPI
John Lail, PHARMACIST
- Pharmacist
- Columbia, SC
National Provider Identifier
1265206353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 44171
- Practice address
- 1941 Blossom St
Columbia, SC 29205-2217 - Phone
- (803) 212-1015
- NPI assigned
- Nov 9, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 44171 | SC | Primary |
Addresses
Primary practice location
1941 Blossom St
Columbia, SC 29205-2217
Mailing address
11550 Wilson Blvd
Ridgeway, SC 29130-9403
Phone (803) 730-4051
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44171 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1941 Blossom St
Columbia, SC 29205
Phone (803) 212-1015
Organizations & group practices 2
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.
-
- Pharmacy
- Columbia, SC
- NPI 1710200290
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- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699488000000",
"number": "1265206353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11550 WILSON BLVD",
"city": "RIDGEWAY",
"state": "SC",
"postal_code": "291309403",
"telephone_number": "803-730-4051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1941 BLOSSOM ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292052217",
"telephone_number": "803-212-1015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAIL",
"first_name": "JOHN",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-11-09",
"last_updated": "2023-11-09",
"certification_date": "2023-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "44171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.