Individual provider Active NPI

Joel Duane Yates II, RPH., B.S.

  • Pharmacist
  • Lexington, SC
National Provider Identifier
1346475456
Registry record updated May 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
8732 Issued in SC
Practice address
1216 W Main St
Lexington, SC 29072-2453
Phone
(803) 358-3030
Fax
(803) 358-3034
NPI assigned
May 18, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 8732 SC Primary
Pharmacist 183500000X 18676 GA

Addresses

Primary practice location

1216 W Main St
Lexington, SC 29072-2453

Mailing address

1216 W Main St
Lexington, SC 29072-2453
Phone (803) 358-3030

Other names 1

  • Jody Yates Other name

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
Bachelor of Science, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
18676GAMDPharmacist
8732SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Longs Drugs of Lexington SC Inc Past Accepting new patients
Longs Drugs of Lexington SC Inc 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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242604800000",
    "number": "1346475456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 W MAIN ST",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290722453",
            "telephone_number": "803-358-3030",
            "fax_number": "803-358-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 W MAIN ST",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290722453",
            "telephone_number": "803-358-3030",
            "fax_number": "803-358-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "JOEL",
        "middle_name": "DUANE",
        "name_suffix": "II",
        "credential": "RPH., B.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-18",
        "last_updated": "2009-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "8732",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "18676",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODY",
            "last_name": "YATES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.