Active NPI
Abby Lynn Hansen
- Pharmacist
- Greenville, SC
National Provider Identifier
1467704346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9916
- Practice address
- 413 Vardry St
Greenville, SC 29601-3332 - Phone
- (864) 271-4932
- NPI assigned
- Oct 3, 2012
- 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 | 9916 | SC | Primary |
Addresses
Primary practice location
413 Vardry St
Greenville, SC 29601-3332
Mailing address
413 Vardry St
Greenville, SC 29601-3332
Phone (864) 271-4932
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 |
|---|---|---|---|
| 9916 | SC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722902400000",
"number": "1467704346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "413 VARDRY ST",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296013332",
"telephone_number": "864-271-4932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 VARDRY ST",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296013332",
"telephone_number": "864-271-4932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "ABBY",
"middle_name": "LYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-03",
"last_updated": "2024-08-06",
"certification_date": "2024-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "9916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.