Active NPI
Justin Jennings
- Pharmacist
- Taylors, SC
National Provider Identifier
1619378478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 35796
- Practice address
- 3027 Wade Hampton Blvd
Taylors, SC 29687 - Phone
- (864) 292-2014
- Fax
- (864) 292-8992
- NPI assigned
- Sep 11, 2014
- 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 | 35796 | SC | Primary |
Addresses
Primary practice location
3027 Wade Hampton Blvd
Taylors, SC 29687
Mailing address
3027 Wade Hampton Blvd
Taylors, SC 29687
Phone (864) 292-2014
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 |
|---|---|---|---|
| 35796 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416355200000",
"number": "1619378478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3027 WADE HAMPTON BLVD",
"city": "TAYLORS",
"state": "SC",
"postal_code": "29687",
"telephone_number": "864-292-2014",
"fax_number": "864-292-8992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3027 WADE HAMPTON BLVD",
"city": "TAYLORS",
"state": "SC",
"postal_code": "29687",
"telephone_number": "864-292-2014",
"fax_number": "864-292-8992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "JUSTIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-11",
"last_updated": "2014-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "35796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taylors, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.