Individual provider Active NPI

Amy E Zorn, RPH

  • Community/Retail Pharmacy
  • Williston, SC
National Provider Identifier
1861901886
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
16197 Issued in SC
Practice address
12935 Main St
Williston, SC 29853-2321
Phone
(803) 266-3356
Fax
(803) 266-3358
NPI assigned
Sep 21, 2017
Last updated
Jun 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 16197 SC Primary

Addresses

Primary practice location

12935 Main St
Williston, SC 29853-2321

Mailing address

12935 Main St
Williston, SC 29853-2321
Phone (803) 266-3356

Other identifiers 1

IdentifierTypeStateIssuer
9165OtherSCSCBOP

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
16197SCMDCommunity/Retail Pharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
Morgan's Drug LLC Community/Retail Pharmacy 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": "1505952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1861901886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12935 MAIN ST",
            "city": "WILLISTON",
            "state": "SC",
            "postal_code": "298532321",
            "telephone_number": "803-266-3356",
            "fax_number": "803-266-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12935 MAIN ST",
            "city": "WILLISTON",
            "state": "SC",
            "postal_code": "298532321",
            "telephone_number": "803-266-3356",
            "fax_number": "803-266-3358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZORN",
        "first_name": "AMY",
        "middle_name": "E",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-21",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "16197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCBOP",
            "identifier": "9165",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.