Active NPI
John C Gregory, R.PH.
- Pharmacist
- Kershaw, SC
National Provider Identifier
1376681759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8775
- Practice address
- 605 S Hampton St
Kershaw, SC 29067-2002 - Phone
- (803) 475-6979
- Fax
- (803) 475-6979
- NPI assigned
- Feb 1, 2007
- Last updated
- May 3, 2018
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 8775 | SC | Primary |
Addresses
Primary practice location
605 S Hampton St
Kershaw, SC 29067-2002
Mailing address
5082 Gold Mine Hwy
Kershaw, SC 29067-8074
Phone (803) 475-5143
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 |
|---|---|---|---|
| 8775 | SC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kershaw Family Pharmacy | Past | 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.
-
- Community/Retail Pharmacy
- Kershaw, SC
- NPI 1629526777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525305600000",
"number": "1376681759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5082 GOLD MINE HWY",
"city": "KERSHAW",
"state": "SC",
"postal_code": "290678074",
"telephone_number": "803-475-5143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 S HAMPTON ST",
"city": "KERSHAW",
"state": "SC",
"postal_code": "290672002",
"telephone_number": "803-475-6979",
"fax_number": "803-475-6979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGORY",
"first_name": "JOHN",
"middle_name": "C",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-01",
"last_updated": "2018-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "8775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kershaw, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.