Active NPI
Jonathan Ray Kulchuk, PHARMD
- Pharmacist
- Fort Mill, SC
National Provider Identifier
1821390238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12280
- Practice address
- 2907 Highway 160 W
Fort Mill, SC 29708-8491 - Phone
- (803) 548-6495
- NPI assigned
- Nov 17, 2010
- 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 | 12280 | SC | Primary |
Addresses
Primary practice location
2907 Highway 160 W
Fort Mill, SC 29708-8491
Mailing address
3285 Richards Xing
Fort Mill, SC 29708-8910
Phone (843) 302-2210
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289952000000",
"number": "1821390238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3285 RICHARDS XING",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297088910",
"telephone_number": "843-302-2210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2907 HIGHWAY 160 W",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297088491",
"telephone_number": "803-548-6495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KULCHUK",
"first_name": "JONATHAN",
"middle_name": "RAY",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-17",
"last_updated": "2010-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "12280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.