Kaci Michelle Rainey, CPHT

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

20515 Issued in SC

Practice address

101 Locust St
Lyman, SC 29365-1503

Phone

(864) 439-1040

Fax

(864) 949-0461

NPI assigned

Dec 18, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kaci Michelle Sanders Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1821684341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LOCUST ST",
            "city": "LYMAN",
            "state": "SC",
            "postal_code": "293651503",
            "telephone_number": "864-439-1040",
            "fax_number": "864-949-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LOCUST ST",
            "city": "LYMAN",
            "state": "SC",
            "postal_code": "293651503",
            "telephone_number": "864-439-1040",
            "fax_number": "864-949-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINEY",
        "first_name": "KACI",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "CPHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-18",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "SC",
            "license": "20515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC BOP",
            "identifier": "20515",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Lyman",
            "affiliation": "N",
            "address_1": "101 Locust St",
            "city": "Lyman",
            "state": "SC",
            "country_code": "US",
            "postal_code": "293651503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KACI",
            "last_name": "SANDERS",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Pharmacy Technician in Lyman, SC
• Providers in Lyman, SC by specialty
• Pharmacy Technician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.