Active NPI
Christopher Brent Munnerlyn, PHARM.D.
- Pharmacist
- Columbia, SC
National Provider Identifier
1689079915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10869
- Practice address
- 360 Harbison Blvd
Columbia, SC 29212-2248 - Phone
- (803) 781-7671
- NPI assigned
- Oct 29, 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 | 10869 | SC | Primary |
Addresses
Primary practice location
360 Harbison Blvd
Columbia, SC 29212-2248
Mailing address
360 Harbison Blvd
Columbia, SC 29212-2248
Phone (803) 781-7671
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10869 | SC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Optical | Current | Accepting new patients | |
| My Lab | Current | 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.
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- Optician
- Lexington, SC
- NPI 1154955227
-
- Clinical Medical Laboratory
- Lexington, SC
- NPI 1184359143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414540800000",
"number": "1689079915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 HARBISON BLVD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292122248",
"telephone_number": "803-781-7671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 HARBISON BLVD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292122248",
"telephone_number": "803-781-7671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNNERLYN",
"first_name": "CHRISTOPHER",
"middle_name": "BRENT",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-29",
"last_updated": "2014-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "10869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.