Active NPI
Dionne Land-Prophet, RPH
- Pharmacist
- Fort Mill, SC
National Provider Identifier
1740720176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14010
- Practice address
- 115 Stone Village Dr
Fort Mill, SC 29708-6489 - Phone
- (803) 239-4562
- NPI assigned
- Mar 5, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 14010 | SC | Primary |
Addresses
Primary practice location
115 Stone Village Dr
Fort Mill, SC 29708-6489
Mailing address
4715 Lapis CT
Fort Mill, SC 29708-8373
Phone (803) 239-4562
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14010 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707868800000",
"number": "1740720176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4715 LAPIS CT",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297088373",
"telephone_number": "803-239-4562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 STONE VILLAGE DR",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297086489",
"telephone_number": "803-239-4562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAND-PROPHET",
"first_name": "DIONNE",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-05",
"last_updated": "2024-02-14",
"certification_date": "2024-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "14010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.