Active NPI
Abigail Justus, PHARMD
- Pharmacist
- Lexington, SC
National Provider Identifier
1295408334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 43054
- Practice address
- 100 Old Cherokee Rd
Lexington, SC 29072-9316 - Phone
- (803) 951-1727
- NPI assigned
- Jul 26, 2021
- Last updated
- Jul 26, 2021
- 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 | 43054 | SC | Primary |
Addresses
Primary practice location
100 Old Cherokee Rd
Lexington, SC 29072-9316
Mailing address
126 Herschel St
Gaston, SC 29053-9528
Phone (803) 201-7931
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Lexington |
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 |
|---|---|---|---|
| 43054 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Publix Super Markets Inc | Current | Accepting new patients | |
| Publix Super Markets Inc | Past | Accepting new patients |
Locations
100 Old Cherokee Rd
Lexington, SC 29072
Phone (803) 951-1727
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.
-
dba Publix Pharmacy #0512
- Community/Retail Pharmacy
- Lexington, SC
- NPI 1922048362
-
dba Publix Pharmacy #2107
- Community/Retail Pharmacy
- Winter Haven, FL
- NPI 1760356380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627257600000",
"number": "1295408334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 HERSCHEL ST",
"city": "GASTON",
"state": "SC",
"postal_code": "290539528",
"telephone_number": "803-201-7931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 OLD CHEROKEE RD",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290729316",
"telephone_number": "803-951-1727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUSTUS",
"first_name": "ABIGAIL",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-26",
"last_updated": "2021-07-26",
"certification_date": "2021-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "43054",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Lexington",
"affiliation": "N",
"address_1": "126 Herschel St",
"city": "Gaston",
"state": "SC",
"country_code": "US",
"postal_code": "290539528",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lexington, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.