Active NPI
John Ryan Ezekiel, PHARMD
- Oncology Pharmacist
- West Columbia, SC
National Provider Identifier
1306471602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Pharmacist
- License
- 11269
- Practice address
- 222 E Medical LN Ste 400
West Columbia, SC 29169-4848 - Phone
- (803) 794-7511
- Fax
- (803) 794-7751
- NPI assigned
- Mar 6, 2020
- 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 |
|---|---|---|---|---|
| Oncology Pharmacist | 1835X0200X | 11269 | SC | Primary |
Addresses
Primary practice location
222 E Medical LN Ste 400
West Columbia, SC 29169-4848
Mailing address
222 E Medical LN Ste 400
West Columbia, SC 29169-4848
Phone (803) 794-7511
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 |
|---|---|---|---|
| 11269 | SC | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583452800000",
"number": "1306471602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 E MEDICAL LN STE 400",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291694848",
"telephone_number": "803-794-7511",
"fax_number": "803-794-7751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 E MEDICAL LN STE 400",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291694848",
"telephone_number": "803-794-7511",
"fax_number": "803-794-7751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EZEKIEL",
"first_name": "JOHN",
"middle_name": "RYAN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-06",
"last_updated": "2020-03-06",
"certification_date": "2020-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "SC",
"license": "11269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.