Active NPI
Jeffrey J Laznik, RPH
- Pharmacist
- Myrtle Beach, SC
National Provider Identifier
1366747271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10281
- Practice address
- 3011 Dooks CT
Myrtle Beach, SC 29579-6895 - Phone
- (843) 267-6859
- Fax
- (843) 234-0898
- NPI assigned
- Jan 24, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10281 | SC | Primary |
| Pharmacist | 183500000X | 0002486 | DE |
Addresses
Primary practice location
3011 Dooks CT
Myrtle Beach, SC 29579-6895
Mailing address
3011 Dooks CT
Myrtle Beach, SC 29579-6895
Phone (843) 267-6859
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0002486 | DE | MD | Pharmacist |
| 10281 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295827200000",
"number": "1366747271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3011 DOOKS CT",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295796895",
"telephone_number": "843-267-6859",
"fax_number": "843-234-0898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3011 DOOKS CT",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295796895",
"telephone_number": "843-267-6859",
"fax_number": "843-234-0898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAZNIK",
"first_name": "JEFFREY",
"middle_name": "J",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-01-24",
"last_updated": "2011-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "10281",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DE",
"license": "0002486",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.