Active NPI
Zack Daniel Altenberg, PHARMD
- Pharmacist
- Lexington, SC
National Provider Identifier
1750017307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 43572
- Practice address
- 2418 Augusta Hwy # a
Lexington, SC 29072-2216 - Phone
- (803) 358-8210
- Fax
- (803) 358-8211
- NPI assigned
- Jul 26, 2022
- Last updated
- Jul 26, 2022
- 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 | 43572 | SC | Primary |
Addresses
Primary practice location
2418 Augusta Hwy # a
Lexington, SC 29072-2216
Mailing address
203 Chowning PL
Lexington, SC 29072-9204
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43572 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
2418 Augusta Hwy
#A
Lexington, SC 29072
Phone (803) 358-8210
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": "1658793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658793600000",
"number": "1750017307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 CHOWNING PL",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290729204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2418 AUGUSTA HWY # A",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290722216",
"telephone_number": "803-358-8210",
"fax_number": "803-358-8211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTENBERG",
"first_name": "ZACK",
"middle_name": "DANIEL",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-26",
"last_updated": "2022-07-26",
"certification_date": "2022-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "43572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.