Active NPI
Lane Madison Hodges, PHARMD
- Pharmacist
- Pamplico, SC
National Provider Identifier
1295381564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 42106
- Practice address
- 616 S Walnut St.
Pamplico, SC 29583 - Phone
- (843) 493-2311
- NPI assigned
- Aug 13, 2019
- 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 | 42106 | SC | Primary |
Addresses
Primary practice location
616 S Walnut St.
Pamplico, SC 29583
Mailing address
2051 Blythewood Crossing LN Apt 622
Blythewood, SC 29016-7158
Phone (864) 238-9137
Other practice location 1
360 N Irby St
Florence, SC 29501-2808
Phone (843) 656-0390
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 |
|---|---|---|---|
| 42106 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565654400000",
"number": "1295381564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2051 BLYTHEWOOD CROSSING LN APT 622",
"city": "BLYTHEWOOD",
"state": "SC",
"postal_code": "290167158",
"telephone_number": "864-238-9137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "616 S WALNUT ST.",
"city": "PAMPLICO",
"state": "SC",
"postal_code": "29583",
"telephone_number": "843-493-2311"
}
],
"practiceLocations": [
{
"address_1": "360 N Irby St",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "SC",
"postal_code": "295012808",
"country_code": "US",
"telephone_number": "843-656-0390",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HODGES",
"first_name": "LANE",
"middle_name": "MADISON",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-13",
"last_updated": "2019-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "42106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pamplico, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.