Active NPI
Jennifer Campbell Diaz
- Pharmacy Technician
- Columbia, SC
National Provider Identifier
1841139458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 19728
- Practice address
- 14 Richland Medical Park Dr Ste 210
Columbia, SC 29203-6877 - Phone
- (803) 434-4624
- Fax
- (803) 434-2134
- NPI assigned
- Mar 27, 2026
- Last updated
- Mar 27, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 19728 | SC | Primary |
Addresses
Primary practice location
14 Richland Medical Park Dr Ste 210
Columbia, SC 29203-6877
Mailing address
14 Richland Medical Park Dr Ste 210
Columbia, SC 29203-6877
Phone (803) 434-4624
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 |
|---|---|---|---|
| 19728 | SC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenville Health Corporation | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774569600000",
"number": "1841139458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 RICHLAND MEDICAL PARK DR STE 210",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036877",
"telephone_number": "803-434-4624",
"fax_number": "803-434-2134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 RICHLAND MEDICAL PARK DR STE 210",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036877",
"telephone_number": "803-434-4624",
"fax_number": "803-434-2134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL DIAZ",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-27",
"last_updated": "2026-03-27",
"certification_date": "2026-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "SC",
"license": "19728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.