Active NPI
Michelle G Sistare, CPHT
- Pharmacy Technician
- Lancaster, SC
National Provider Identifier
1912040130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 10346
- Practice address
- 1073 W Meeting St
Lancaster, SC 29720-2205 - Phone
- (803) 285-2021
- Fax
- (803) 285-7990
- NPI assigned
- Feb 15, 2007
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 10346 | SC | Primary |
Addresses
Primary practice location
1073 W Meeting St
Lancaster, SC 29720-2205
Mailing address
4503 JB Denton Rd
Lancaster, SC 29720-9179
Phone (803) 283-9292
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10346 | Other | SC | SC PHAR TECH REGISTRATION |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912040130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4503 JB DENTON RD",
"city": "LANCASTER",
"state": "SC",
"postal_code": "297209179",
"telephone_number": "803-283-9292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1073 W MEETING ST",
"city": "LANCASTER",
"state": "SC",
"postal_code": "297202205",
"telephone_number": "803-285-2021",
"fax_number": "803-285-7990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SISTARE",
"first_name": "MICHELLE",
"middle_name": "G",
"name_prefix": "Mrs.",
"credential": "CPHT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "SC",
"license": "10346",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SC PHAR TECH REGISTRATION",
"identifier": "10346",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.