Active NPI
Virginia S Harley
- Pharmacist
- North, SC
National Provider Identifier
1871362301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8139
- Practice address
- 4633 Savannah Hwy
North, SC 29112-8180 - Phone
- (803) 247-2133
- NPI assigned
- Dec 26, 2023
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 8139 | SC | Primary |
Addresses
Primary practice location
4633 Savannah Hwy
North, SC 29112-8180
Mailing address
PO Box 85744
Lexington, SC 29073-0034
Phone (803) 518-2096
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 |
|---|---|---|---|
| 8139 | SC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703548800000",
"number": "1871362301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 85744",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290730034",
"telephone_number": "803-518-2096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4633 SAVANNAH HWY",
"city": "NORTH",
"state": "SC",
"postal_code": "291128180",
"telephone_number": "803-247-2133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARLEY",
"first_name": "VIRGINIA",
"middle_name": "S",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-26",
"last_updated": "2023-12-26",
"certification_date": "2023-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "8139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.