Individual provider Active NPI

Shannon Apgar

  • Pharmacist
  • Charleston, SC
National Provider Identifier
1376208512
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
43210 Issued in SC
Practice address
1020 Orange Grove Rd
Charleston, SC 29407-3756
Phone
(843) 556-4064
NPI assigned
Nov 2, 2021
Last updated
Nov 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 01234 SC
Pharmacist 183500000X 43210 SC Primary

Addresses

Primary practice location

1020 Orange Grove Rd
Charleston, SC 29407-3756

Mailing address

1400 Midtown Ave Apt 325
Mount Pleasant, SC 29464-3874
Phone (864) 399-4858

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 8435564064 Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
01234SCMDPharmacist
43210SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina CVS Pharmacy LLC PastSince Nov 9, 2021 Accepting new patients

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": "1635811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1376208512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 MIDTOWN AVE APT 325",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643874",
            "telephone_number": "864-399-4858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 ORANGE GROVE RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294073756",
            "telephone_number": "843-556-4064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APGAR",
        "first_name": "SHANNON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "01234",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "43210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "8435564064",
            "affiliation": "N",
            "endpointDescription": "cvs phone number",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "useOtherDescription": "cvs phone number",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1020 Orange Grove Rd",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294073756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.

Verify at the official NPI Registry.