Active NPI
Lauren Elizabeth Facchine
- Pharmacist
- Woodruff, SC
National Provider Identifier
1265816292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 27483
- Practice address
- 121 N Main St
Woodruff, SC 29388-1845 - Phone
- (864) 476-5902
- NPI assigned
- Jul 20, 2015
- Last updated
- Aug 9, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP449725 | PA | |
| Pharmacist | 183500000X | 27483 | SC | Primary |
Addresses
Primary practice location
121 N Main St
Woodruff, SC 29388-1845
Mailing address
121 N Main St
Woodruff, SC 29388-1845
Phone (864) 476-5902
Other practice location 1
163 W 26th St
Erie, PA 16508-1803
Phone (814) 452-4012
Other names 1
- Lauren Elizabeth Altmeyer
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 |
|---|---|---|---|
| RP449725 | PA | MD | Pharmacist |
| 27483 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565308800000",
"number": "1265816292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 N MAIN ST",
"city": "WOODRUFF",
"state": "SC",
"postal_code": "293881845",
"telephone_number": "864-476-5902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 N MAIN ST",
"city": "WOODRUFF",
"state": "SC",
"postal_code": "293881845",
"telephone_number": "864-476-5902"
}
],
"practiceLocations": [
{
"address_1": "163 W 26th St",
"address_purpose": "LOCATION",
"city": "Erie",
"state": "PA",
"postal_code": "165081803",
"country_code": "US",
"telephone_number": "814-452-4012",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FACCHINE",
"first_name": "LAUREN",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-20",
"last_updated": "2019-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP449725",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "27483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAUREN",
"last_name": "ALTMEYER",
"middle_name": "ELIZABETH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Woodruff, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.