Individual provider Active NPI

Robert E Huntley Jr., B.S. PHARMACY

  • Pharmacist
  • Fort Jackson, SC
National Provider Identifier
1528033255
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
009044 Issued in SC
Practice address
Moncrief Army Community Hospital
4500 Stuart St
Ft Jackson, SC 29207
Phone
(803) 751-2385
Fax
(803) 751-0547
NPI assigned
Feb 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 009044 SC Primary

Addresses

Primary practice location

Moncrief Army Community Hospital
4500 Stuart St
Ft Jackson, SC 29207

Mailing address

315 Pickwick Dr
Columbia, SC 29223-8248
Phone (803) 699-9691

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
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
009044SCMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528033255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 PICKWICK DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292238248",
            "telephone_number": "803-699-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MONCRIEF ARMY COMMUNITY HOSPITAL",
            "address_2": "4500 STUART ST",
            "city": "FT JACKSON",
            "state": "SC",
            "postal_code": "29207",
            "telephone_number": "803-751-2385",
            "fax_number": "803-751-0547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTLEY",
        "first_name": "ROBERT",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "B.S. PHARMACY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "009044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Jackson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.