Active NPI
Eddie Garrett Jr., RPH
- Pharmacist
- Lancaster, SC
National Provider Identifier
1750763181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4831
- Practice address
- 201 N Main St
Lancaster, SC 29720-2178 - Phone
- (803) 285-2066
- NPI assigned
- Jun 22, 2015
- 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 | 4831 | SC | Primary |
Addresses
Primary practice location
201 N Main St
Lancaster, SC 29720-2178
Mailing address
1673 Crescent Ridge Dr
Fort Mill, SC 29715-9128
Phone (803) 322-6809
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4831 | Other | SC | PHARMACY LICENSE |
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 |
|---|---|---|---|
| 4831 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434931200000",
"number": "1750763181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1673 CRESCENT RIDGE DR",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297159128",
"telephone_number": "803-322-6809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 N MAIN ST",
"city": "LANCASTER",
"state": "SC",
"postal_code": "297202178",
"telephone_number": "803-285-2066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRETT",
"first_name": "EDDIE",
"name_suffix": "Jr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-22",
"last_updated": "2015-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "4831",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "4831",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.