Active NPI
Nagy Saleh Khalil
- Pharmacist
- Seneca, SC
National Provider Identifier
1689267601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9615
- Practice address
- 1504 Blue Ridge Blvd
Seneca, SC 29672-6601 - Phone
- (864) 888-4022
- NPI assigned
- Feb 20, 2021
- Last updated
- Feb 20, 2021
- 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 | 9615 | SC | Primary |
Addresses
Primary practice location
1504 Blue Ridge Blvd
Seneca, SC 29672-6601
Mailing address
1504 Blue Ridge Blvd
Seneca, SC 29672-6601
Phone (864) 888-4022
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 |
|---|---|---|---|
| 9615 | SC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Carolina CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| South Carolina CVS Pharmacy LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613779200000",
"number": "1689267601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1504 BLUE RIDGE BLVD",
"city": "SENECA",
"state": "SC",
"postal_code": "296726601",
"telephone_number": "864-888-4022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1504 BLUE RIDGE BLVD",
"city": "SENECA",
"state": "SC",
"postal_code": "296726601",
"telephone_number": "864-888-4022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHALIL",
"first_name": "NAGY",
"middle_name": "SALEH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-20",
"last_updated": "2021-02-20",
"certification_date": "2021-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "9615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seneca, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.