Active NPI
Katie Fox
- Pharmacist
- Conway, SC
National Provider Identifier
1578053971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13767
- Practice address
- 1600 10TH Ave
Conway, SC 29526-4112 - Phone
- (843) 248-5015
- NPI assigned
- May 11, 2018
- 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 | 13767 | SC | Primary |
Addresses
Primary practice location
1600 10TH Ave
Conway, SC 29526-4112
Mailing address
150 Sherwood Dr
Conway, SC 29526-3165
Phone (843) 602-5283
Other practice location 1
2837 Hwy 501 E
Aynor, SC 29511
Phone (843) 358-7777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13767 | Other | SC | BOARD OF PHARMACY |
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 |
|---|---|---|---|
| 13767 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden Town Pharmacy, LLC | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Aynor, SC
- NPI 1376057570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570492800000",
"number": "1578053971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 SHERWOOD DR",
"city": "CONWAY",
"state": "SC",
"postal_code": "295263165",
"telephone_number": "843-602-5283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 10TH AVE",
"city": "CONWAY",
"state": "SC",
"postal_code": "295264112",
"telephone_number": "843-248-5015"
}
],
"practiceLocations": [
{
"address_1": "2837 Hwy 501 E",
"address_purpose": "LOCATION",
"city": "Aynor",
"state": "SC",
"postal_code": "29511",
"country_code": "US",
"telephone_number": "843-358-7777",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOX",
"first_name": "KATIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-11",
"last_updated": "2019-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "13767",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY",
"identifier": "13767",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Conway, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.