Active NPI
Keyuri Jivan
- Pharmacist
- Easley, SC
National Provider Identifier
1811532906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 41919
- Practice address
- 5269 Calhoun Memorial Hwy
Easley, SC 29640-3865 - Phone
- (864) 859-7168
- NPI assigned
- Nov 12, 2019
- Last updated
- Nov 12, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 41919 | SC | Primary |
Addresses
Primary practice location
5269 Calhoun Memorial Hwy
Easley, SC 29640-3865
Mailing address
226 Dartmoor Dr
Spartanburg, SC 29301-5368
Phone (661) 304-8470
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 |
|---|---|---|---|
| 41919 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573516800000",
"number": "1811532906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "226 DARTMOOR DR",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293015368",
"telephone_number": "661-304-8470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5269 CALHOUN MEMORIAL HWY",
"city": "EASLEY",
"state": "SC",
"postal_code": "296403865",
"telephone_number": "864-859-7168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIVAN",
"first_name": "KEYURI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-12",
"last_updated": "2019-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "41919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Easley, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.