Active NPI
John Kenneth Carter Sr.
- Pharmacist
- Mullins, SC
National Provider Identifier
1780460709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5883
- Practice address
- 236 W McIntyre St
Mullins, SC 29574-3524 - Phone
- (843) 464-0372
- NPI assigned
- Sep 5, 2023
- 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 | 5883 | SC | Primary |
Addresses
Primary practice location
236 W McIntyre St
Mullins, SC 29574-3524
Mailing address
2089 Red Bluff Rd
Loris, SC 29569-6043
Phone (843) 421-8211
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 |
|---|---|---|---|
| 5883 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694304000000",
"number": "1780460709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2089 RED BLUFF RD",
"city": "LORIS",
"state": "SC",
"postal_code": "295696043",
"telephone_number": "843-421-8211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "236 W MCINTYRE ST",
"city": "MULLINS",
"state": "SC",
"postal_code": "295743524",
"telephone_number": "843-464-0372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "JOHN",
"middle_name": "KENNETH",
"name_suffix": "Sr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-05",
"last_updated": "2023-09-10",
"certification_date": "2023-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "5883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mullins, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.