Individual provider Active NPI

Lukas William Hannon, PHARMD

  • Pharmacist
  • Greer, SC
National Provider Identifier
1548892425
Registry record updated Feb 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
41950 Issued in SC
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

Updated by the provider on Feb 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
41950SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Pharmacy of Greer, Inc Past Accepting new patients
Professional Pharmacy at Mt View in PastSince Feb 9, 2020 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.

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.

Verify at the official NPI Registry.