Active NPI
Ron Calvert, R.PH.
- Pharmacist
- Walhalla, SC
National Provider Identifier
1285988402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 003993
- Practice address
- 112 E Main St
Walhalla, SC 29691-1925 - Phone
- (864) 638-9553
- Fax
- (864) 638-3754
- NPI assigned
- Nov 9, 2012
- Last updated
- Nov 9, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | 003993 | SC | Primary |
Addresses
Primary practice location
112 E Main St
Walhalla, SC 29691-1925
Mailing address
112 E Main St
Walhalla, SC 29691-1925
Phone (864) 638-9553
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 |
|---|---|---|---|
| 003993 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kens Thriftee Pharmacy Inc | Current | Accepting new patients |
Locations
112 E Main St
Walhalla, SC 29691
Phone (864) 638-9553
Organizations & group practices 1
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.
-
dba Kens Thriftee Pharmacy
- Community/Retail Pharmacy
- Walhalla, SC
- NPI 1396796769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352419200000",
"number": "1285988402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 E MAIN ST",
"city": "WALHALLA",
"state": "SC",
"postal_code": "296911925",
"telephone_number": "864-638-9553",
"fax_number": "864-638-3754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 E MAIN ST",
"city": "WALHALLA",
"state": "SC",
"postal_code": "296911925",
"telephone_number": "864-638-9553",
"fax_number": "864-638-3754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALVERT",
"first_name": "RON",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-11-09",
"last_updated": "2012-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "003993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walhalla, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.