Active NPI
Mary Elizabeth Rogers
- Pharmacist
- West Columbia, SC
National Provider Identifier
1609204825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14407
- Practice address
- 1010 Old Barnwell Rd
West Columbia, SC 29170-3406 - Phone
- (803) 358-0612
- NPI assigned
- Oct 25, 2013
- Last updated
- Oct 25, 2013
- Sex
- Female
- 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 | 14407 | SC | Primary |
Addresses
Primary practice location
1010 Old Barnwell Rd
West Columbia, SC 29170-3406
Mailing address
1010 Old Barnwell Rd
West Columbia, SC 29170-3406
Other names 1
- Mary Elizabeth Busby
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 |
|---|---|---|---|
| 14407 | SC | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382659200000",
"number": "1609204825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 OLD BARNWELL RD",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291703406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 OLD BARNWELL RD",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291703406",
"telephone_number": "803-358-0612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-25",
"last_updated": "2013-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "14407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "BUSBY",
"middle_name": "ELIZABETH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in West Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.