Individual provider Active NPI

James D Spruill, RPH

  • Pharmacist
  • Beaufort, SC
National Provider Identifier
1902173677
Registry record updated Nov 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5452 Issued in SC
Practice address
860 Parris Island Gtwy
Beaufort, SC 29906-6921
Phone
(843) 524-2300
Fax
(843) 524-0915
NPI assigned
Nov 24, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5452 SC Primary
Pharmacist 183500000X 007801 KY

Addresses

Primary practice location

860 Parris Island Gtwy
Beaufort, SC 29906-6921

Mailing address

860 Parris Island Gtwy
Beaufort, SC 29906-6921
Phone (843) 524-2300

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
007801KYMDPharmacist
5452SCMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1322092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322092800000",
    "number": "1902173677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 PARRIS ISLAND GTWY",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299066921",
            "telephone_number": "843-524-2300",
            "fax_number": "843-524-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 PARRIS ISLAND GTWY",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299066921",
            "telephone_number": "843-524-2300",
            "fax_number": "843-524-0915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRUILL",
        "first_name": "JAMES",
        "middle_name": "D",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-24",
        "last_updated": "2011-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "5452",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "007801",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2011; 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.