Active NPI
Timothy Matthew Zgonc, PHARM D.
- Pharmacist
- Greenville, SC
National Provider Identifier
1811295694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 011283
- Practice address
- 2323 E North St
Greenville, SC 29607-1238 - Phone
- (864) 233-9401
- Fax
- (864) 233-9725
- NPI assigned
- Mar 3, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS47330 | FL | |
| Pharmacist | 183500000X | 011283 | SC | Primary |
Addresses
Primary practice location
2323 E North St
Greenville, SC 29607-1238
Mailing address
4 Meadow Lake TRL
Greer, SC 29650-1064
Phone (864) 877-4792
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 |
|---|---|---|---|
| PS47330 | FL | MD | Pharmacist |
| 011283 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
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.
-
- Pharmacy
- Greenville, SC
- NPI 1467467555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299196800000",
"number": "1811295694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 MEADOW LAKE TRL",
"city": "GREER",
"state": "SC",
"postal_code": "296501064",
"telephone_number": "864-877-4792",
"fax_number": "864-233-9725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 E NORTH ST",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296071238",
"telephone_number": "864-233-9401",
"fax_number": "864-233-9725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZGONC",
"first_name": "TIMOTHY",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "PHARM D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-03",
"last_updated": "2011-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS47330",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "011283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.