Active NPI
Gregory Pelkey
- Medical Laboratory Technician
- Charleston, SC
National Provider Identifier
1710345186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Laboratory Technician
- License
- 245310
- Practice address
- 1010 Fiall St
Charleston, SC 29407-6130 - Phone
- (269) 519-0262
- NPI assigned
- Feb 1, 2016
- 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 |
|---|---|---|---|---|
| Medical Laboratory Technician | 246RM2200X | 245310 | IL | Primary |
Addresses
Primary practice location
1010 Fiall St
Charleston, SC 29407-6130
Mailing address
1010 Fiall St
Charleston, SC 29407-6130
Phone (269) 519-0262
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 |
|---|---|---|---|
| 245310 | IL | MD | Medical Laboratory Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454284800000",
"number": "1710345186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 FIALL ST",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294076130",
"telephone_number": "269-519-0262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 FIALL ST",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294076130",
"telephone_number": "269-519-0262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELKEY",
"first_name": "GREGORY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-01",
"last_updated": "2016-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "246RM2200X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Medical Laboratory",
"state": "IL",
"license": "245310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.