Individual provider Active NPI

Diana M McGuire, RPH

  • Pharmacist
  • Lake Wylie, SC
National Provider Identifier
1700181120
Registry record updated Jan 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
9581 Issued in SC
Practice address
4724 Charlotte Hwy
Lake Wylie, SC 29710-8095
Phone
(803) 831-1911
Fax
(803) 831-7512
NPI assigned
Jan 15, 2011
Last updated
Jan 15, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 9581 SC Primary
Pharmacist 183500000X 14191 NC

Addresses

Primary practice location

4724 Charlotte Hwy
Lake Wylie, SC 29710-8095

Mailing address

11169 Water Trace Dr
Tega Cay, SC 29708-9375
Phone (704) 560-3638

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
14191NCMDPharmacist
9581SCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1295049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295049600000",
    "number": "1700181120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11169 WATER TRACE DR",
            "city": "TEGA CAY",
            "state": "SC",
            "postal_code": "297089375",
            "telephone_number": "704-560-3638",
            "fax_number": "803-831-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4724 CHARLOTTE HWY",
            "city": "LAKE WYLIE",
            "state": "SC",
            "postal_code": "297108095",
            "telephone_number": "803-831-1911",
            "fax_number": "803-831-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGUIRE",
        "first_name": "DIANA",
        "middle_name": "M",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-15",
        "last_updated": "2011-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "9581",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "14191",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Wylie, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2011; 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.