Active NPI
Jim Sandlin, RPH
- Pharmacist
- Lamar, SC
National Provider Identifier
1902140619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4145
- Practice address
- 100 N Railroad Ave
Lamar, SC 29069-9726 - Phone
- (843) 326-5231
- Fax
- (843) 326-5068
- NPI assigned
- Nov 19, 2012
- Last updated
- Nov 19, 2012
- Sex
- Male
- 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 | 4145 | SC | Primary |
Addresses
Primary practice location
100 N Railroad Ave
Lamar, SC 29069-9726
Mailing address
100 N Railroad Ave
Lamar, SC 29069-9726
Phone (843) 326-5231
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4145 | Other | SC | SC PHARMACY LISCENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4145 | SC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353283200000",
"number": "1902140619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N RAILROAD AVE",
"city": "LAMAR",
"state": "SC",
"postal_code": "290699726",
"telephone_number": "843-326-5231",
"fax_number": "843-326-5068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N RAILROAD AVE",
"city": "LAMAR",
"state": "SC",
"postal_code": "290699726",
"telephone_number": "843-326-5231",
"fax_number": "843-326-5068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDLIN",
"first_name": "JIM",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-11-19",
"last_updated": "2012-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "4145",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SC PHARMACY LISCENSE",
"identifier": "4145",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lamar, SC
- Tina Celeste Outlaw, BSW,MSW, LISW-CP
- Catherine Cummings Parnell, RN
- Piggly Wiggly of Lamar LLC (Piggly Wiggly Pharmacy #196)
- Piggly Wiggly Retail Stores, Inc. (Piggly Wiggly Pharmacy #112)
- Kendall Shelby Rivers
- Jacqueline G. Stephens, PHD, APRN, AGNP-C
- Tony Skorput, PA (Skorput Rehabilitation & Wellness)
- April Watford
- Wes Corporation, Inc. (Omnipresent Adult Day Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.