Individual provider Active NPI

Jennifer Nelson Mazur, PHARMD

  • Pharmacist
  • Mount Pleasant, SC
National Provider Identifier
1659345643
Registry record updated Oct 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
9117 Issued in SC
Practice address
1280 Johnnie Dodds Blvd
Suite 105
Mount Pleasant, SC 29464-3287
Phone
(843) 971-1046
Fax
(843) 876-0263
NPI assigned
Feb 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 9117 SC Primary

Addresses

Primary practice location

1280 Johnnie Dodds Blvd
Suite 105
Mount Pleasant, SC 29464-3287

Mailing address

1748 James Basford PL
Mount Pleasant, SC 29466-7041
Phone (843) 881-8149

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
Doctor of Pharmacy

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256688000000",
    "number": "1659345643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1748 JAMES BASFORD PL",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294667041",
            "telephone_number": "843-881-8149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 JOHNNIE DODDS BLVD",
            "address_2": "SUITE 105",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643287",
            "telephone_number": "843-971-1046",
            "fax_number": "843-876-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZUR",
        "first_name": "JENNIFER",
        "middle_name": "NELSON",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2009-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "9117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.