Active NPI
Micah Goforth Drew
- Pharmacist
- Warrenville, SC
National Provider Identifier
1346921657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 44007
- Practice address
- 2820 Augusta Road
Warrenville, SC 29851 - Phone
- (803) 593-3411
- NPI assigned
- Jul 28, 2023
- Last updated
- Jul 28, 2023
- Sex
- Female
- 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 | 44007 | SC | Primary |
Addresses
Primary practice location
2820 Augusta Road
Warrenville, SC 29851
Mailing address
57 Murrah Road Ext
North Augusta, SC 29860-9304
Other practice location 1
839 Richland Ave W
Aiken, SC 29801-3833
Phone (803) 649-7437
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44007 | SC | MD | Pharmacist |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690502400000",
"number": "1346921657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 MURRAH ROAD EXT",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298609304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2820 AUGUSTA ROAD",
"city": "WARRENVILLE",
"state": "SC",
"postal_code": "29851",
"telephone_number": "803-593-3411"
}
],
"practiceLocations": [
{
"address_1": "839 Richland Ave W",
"address_purpose": "LOCATION",
"city": "Aiken",
"state": "SC",
"postal_code": "298013833",
"country_code": "US",
"telephone_number": "803-649-7437",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DREW",
"first_name": "MICAH",
"middle_name": "GOFORTH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-28",
"last_updated": "2023-07-28",
"certification_date": "2023-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "44007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warrenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.