Active NPI
John Marshall Buck III, RPH
- Pharmacist
- Summerville, SC
National Provider Identifier
1649520966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4815
- Practice address
- 1602 Central Ave
Summerville, SC 29483 - Phone
- (843) 871-0801
- Fax
- (843) 871-0902
- NPI assigned
- Sep 13, 2012
- 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 | 4815 | SC | Primary |
Addresses
Primary practice location
1602 Central Ave
Summerville, SC 29483
Mailing address
208 Forest Circle
Summerville, SC 29483
Phone (843) 875-9687
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4815 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347494400000",
"number": "1649520966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 FOREST CIRCLE",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "29483",
"telephone_number": "843-875-9687",
"fax_number": "843-871-0902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1602 CENTRAL AVE",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "29483",
"telephone_number": "843-871-0801",
"fax_number": "843-871-0902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCK",
"first_name": "JOHN",
"middle_name": "MARSHALL",
"name_suffix": "III",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-13",
"last_updated": "2012-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "4815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.