Active NPI
Shayla Nicole Lites, PHARM.D.
- Pharmacist
- Columbia, SC
National Provider Identifier
1275947780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 35499
- Practice address
- 175 Forum Dr
Columbia, SC 29229-7938 - Phone
- (803) 699-7067
- NPI assigned
- Jun 12, 2014
- Last updated
- Jun 12, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 35499 | SC | Primary |
Addresses
Primary practice location
175 Forum Dr
Columbia, SC 29229-7938
Mailing address
811 Mallet Hill Rd
Apt 304
Columbia, SC 29223-4407
Phone (803) 760-0151
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 |
|---|---|---|---|
| 35499 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402531200000",
"number": "1275947780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 MALLET HILL RD",
"address_2": "APT 304",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292234407",
"telephone_number": "803-760-0151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 FORUM DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292297938",
"telephone_number": "803-699-7067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITES",
"first_name": "SHAYLA",
"middle_name": "NICOLE",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-12",
"last_updated": "2014-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "35499",
"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 Jun 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.