Active NPI
Crystal Lacole Foxworth
- Pharmacist
- Marion, SC
National Provider Identifier
1689170854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 37421
- Practice address
- 1328 N Main St
Marion, SC 29571-2011 - Phone
- (843) 423-5212
- NPI assigned
- Apr 4, 2018
- 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 | 37421 | SC | Primary |
Addresses
Primary practice location
1328 N Main St
Marion, SC 29571-2011
Mailing address
6407 Catfish CT
Latta, SC 29565-5330
Phone (571) 223-8617
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 |
|---|---|---|---|
| 37421 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522800000000",
"number": "1689170854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6407 CATFISH CT",
"city": "LATTA",
"state": "SC",
"postal_code": "295655330",
"telephone_number": "571-223-8617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1328 N MAIN ST",
"city": "MARION",
"state": "SC",
"postal_code": "295712011",
"telephone_number": "843-423-5212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOXWORTH",
"first_name": "CRYSTAL",
"middle_name": "LACOLE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-04",
"last_updated": "2018-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "37421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marion, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.