Active NPI
Fairlynn Grooms
- Pharmacist
- Dillon, SC
National Provider Identifier
1891103701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 35638
- Practice address
- 611 U.S. 301 Highway
Dillon, SC 29536 - Phone
- (843) 774-3400
- NPI assigned
- Jul 24, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 35638 | SC | Primary |
Addresses
Primary practice location
611 U.S. 301 Highway
Dillon, SC 29536
Mailing address
1251 Lizzie Byrd Rd
Society Hill, SC 29593-5417
Phone (843) 319-2759
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 |
|---|---|---|---|
| 35638 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406160000000",
"number": "1891103701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1251 LIZZIE BYRD RD",
"city": "SOCIETY HILL",
"state": "SC",
"postal_code": "295935417",
"telephone_number": "843-319-2759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 U.S. 301 HIGHWAY",
"city": "DILLON",
"state": "SC",
"postal_code": "29536",
"telephone_number": "843-774-3400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROOMS",
"first_name": "FAIRLYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-24",
"last_updated": "2014-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "35638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dillon, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.