Active NPI
Jonathan Banks
- Pharmacist
- Camden, SC
National Provider Identifier
1760906242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 37089
- Practice address
- 2500 Broad St
Camden, SC 29020-2225 - Phone
- (803) 432-5103
- NPI assigned
- Jul 27, 2017
- Last updated
- Jul 27, 2017
- 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 | 37089 | SC | Primary |
Addresses
Primary practice location
2500 Broad St
Camden, SC 29020-2225
Mailing address
5000 Forest Dr Apt 2213
Columbia, SC 29206-6502
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 |
|---|---|---|---|
| 37089 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501113600000",
"number": "1760906242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 FOREST DR APT 2213",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292066502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 BROAD ST",
"city": "CAMDEN",
"state": "SC",
"postal_code": "290202225",
"telephone_number": "803-432-5103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKS",
"first_name": "JONATHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-27",
"last_updated": "2017-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "37089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camden, SC
- Jose Angelo Mercado Antonio
- Anthony J. Armstrong, MD
- Kimberley Paula Babilon
- Cynthia Nicole Bailey
- Elizabeth Scott Baker, RN
- Sierra Nacole Barnes, PHD, LPC-A
- Dedra Baskin, LPC-A; ED.D.
- Rami Yousef Saleem Batarseh, M.D
- Stephanie Baxley Batten, PA-C
- Beacon Respiratory Services of Georgia, Inc. (AeroCare)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.