Active NPI
Mike Rast, P.D. FASCP
- Geriatric Pharmacist
- Hartsville, SC
National Provider Identifier
1598814683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 3848
- Practice address
- 206 S 2ND St
Hartsville, SC 29550-4304 - Phone
- (843) 332-5193
- Fax
- (843) 332-2589
- NPI assigned
- Jan 9, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 3848 | SC | Primary |
Addresses
Primary practice location
206 S 2ND St
Hartsville, SC 29550-4304
Mailing address
206 S 2ND St
Hartsville, SC 29550-4304
Phone (843) 332-5193
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 |
|---|---|---|---|
| 3848 | SC | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598814683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 S 2ND ST",
"city": "HARTSVILLE",
"state": "SC",
"postal_code": "295504304",
"telephone_number": "843-332-5193",
"fax_number": "843-332-2589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 S 2ND ST",
"city": "HARTSVILLE",
"state": "SC",
"postal_code": "295504304",
"telephone_number": "843-332-5193",
"fax_number": "843-332-2589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAST",
"first_name": "MIKE",
"credential": "P.D. FASCP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "SC",
"license": "3848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hartsville, 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.