Active NPI
Lukas William Hannon, PHARMD
- Pharmacist
- Greer, SC
National Provider Identifier
1548892425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 41950
- Practice address
- 428 Memorial Drive Ext
Greer, SC 29651-1818 - Phone
- (864) 877-4281
- Fax
- (864) 877-4077
- NPI assigned
- Feb 7, 2020
- 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 | 41950 | SC | Primary |
Addresses
Primary practice location
428 Memorial Drive Ext
Greer, SC 29651-1818
Mailing address
110 Ascot Dr
Greer, SC 29651-1006
Phone (864) 616-9569
Other practice location 1
320 Memorial Dr
Greer, SC 29650-1525
Phone (864) 877-3386
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41950 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Pharmacy of Greer, Inc | Past | Accepting new patients | |
| Professional Pharmacy at Mt View in | Past | Accepting new patients | |
| Professional Pharmacy of Greer, Inc | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Greer, SC
- NPI 1306829668
-
- Community/Retail Pharmacy
- Greer, SC
- NPI 1689756777
-
- Durable Medical Equipment & Medical Supplies
- Greer, SC
- NPI 1912126707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581033600000",
"number": "1548892425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 ASCOT DR",
"city": "GREER",
"state": "SC",
"postal_code": "296511006",
"telephone_number": "864-616-9569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "428 MEMORIAL DRIVE EXT",
"city": "GREER",
"state": "SC",
"postal_code": "296511818",
"telephone_number": "864-877-4281",
"fax_number": "864-877-4077"
}
],
"practiceLocations": [
{
"address_1": "320 Memorial Dr",
"address_purpose": "LOCATION",
"city": "Greer",
"state": "SC",
"postal_code": "296501525",
"country_code": "US",
"telephone_number": "864-877-3386",
"fax_number": "864-877-3859",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANNON",
"first_name": "LUKAS",
"middle_name": "WILLIAM",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-07",
"last_updated": "2020-02-07",
"certification_date": "2020-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "41950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greer, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.