Individual provider Active NPI

Megan Jaco, PHARM.D

  • Pharmacist
  • Batesburg Leesville, SC
National Provider Identifier
1750191318
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11791 Issued in SC
Practice address
317 Village Square Dr
Batesburg Leesville, SC 29070-7055
Phone
(803) 580-2400
NPI assigned
Jan 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 11791 SC Primary

Addresses

Primary practice location

317 Village Square Dr
Batesburg Leesville, SC 29070-7055

Mailing address

317 Village Square Dr
Batesburg Leesville, SC 29070-7055
Phone (803) 580-2400

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

LicenseStateTypeSpecialty
11791SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pugh Drug of B-L, Inc CurrentSince Jan 12, 2025 Accepting new patients

Locations

317 Village Square Dr
Batesburg Leesville, SC 29070
Phone (803) 580-2400

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1736208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1750191318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 VILLAGE SQUARE DR",
            "city": "BATESBURG LEESVILLE",
            "state": "SC",
            "postal_code": "290707055",
            "telephone_number": "803-580-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 VILLAGE SQUARE DR",
            "city": "BATESBURG LEESVILLE",
            "state": "SC",
            "postal_code": "290707055",
            "telephone_number": "803-580-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACO",
        "first_name": "MEGAN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "11791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesburg Leesville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.