Active NPI
Payton Jackson
- Pharmacist
- Cayce, SC
National Provider Identifier
1679499982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 67824
- Practice address
- 1355 Knox Abbott Dr
Cayce, SC 29033-3327 - Phone
- (803) 223-0754
- NPI assigned
- Jun 29, 2026
- 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 | 67824 | SC | Primary |
Addresses
Primary practice location
1355 Knox Abbott Dr
Cayce, SC 29033-3327
Mailing address
1355 Knox Abbott Dr
Cayce, SC 29033-3327
Phone (803) 223-0754
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East, LP | Past | Accepting new patients | |
| Wal-Mart Stores East LP | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782691200000",
"number": "1679499982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1355 KNOX ABBOTT DR",
"city": "CAYCE",
"state": "SC",
"postal_code": "290333327",
"telephone_number": "803-223-0754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1355 KNOX ABBOTT DR",
"city": "CAYCE",
"state": "SC",
"postal_code": "290333327",
"telephone_number": "803-223-0754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "PAYTON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-29",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "67824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cayce, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.