Active NPI
Andrew Michael Puryear, PHARMD
- Pharmacist
- North Augusta, SC
National Provider Identifier
1811548266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 25997
- Practice address
- 1284 Knox Ave
North Augusta, SC 29841-4055 - Phone
- (803) 442-4510
- NPI assigned
- Sep 26, 2019
- 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 | 13522 | SC | |
| Pharmacist | 183500000X | 25997 | GA | Primary |
Addresses
Primary practice location
1284 Knox Ave
North Augusta, SC 29841-4055
Mailing address
990 Napiers Post Dr
Evans, GA 30809-6428
Phone (706) 825-6371
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 |
|---|---|---|---|
| 25997 | GA | MD | Pharmacist |
| 13522 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Co | Past | Accepting new patients | |
| The Kroger Co | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- North Augusta, SC
- NPI 1548414543
-
- Community/Retail Pharmacy
- Bethlehem, GA
- NPI 1154294205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569456000000",
"number": "1811548266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "990 NAPIERS POST DR",
"city": "EVANS",
"state": "GA",
"postal_code": "308096428",
"telephone_number": "706-825-6371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1284 KNOX AVE",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298414055",
"telephone_number": "803-442-4510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURYEAR",
"first_name": "ANDREW",
"middle_name": "MICHAEL",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-26",
"last_updated": "2019-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "13522",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "25997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Augusta, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.