Active NPI
Janet Rose Funderburk, PHARM D
- Pharmacist
- Lancaster, SC
National Provider Identifier
1912202151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6779
- Practice address
- 1728 Airport Rd
Lancaster, SC 29720-3805 - Phone
- (803) 285-8491
- Fax
- (803) 285-7263
- NPI assigned
- Jan 19, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 6779 | SC | Primary |
| Pharmacist | 183500000X | 12026 | NC |
Addresses
Primary practice location
1728 Airport Rd
Lancaster, SC 29720-3805
Mailing address
1728 Airport Rd
Lancaster, SC 29720-3805
Phone (803) 285-8491
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12026 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295395200000",
"number": "1912202151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1728 AIRPORT RD",
"city": "LANCASTER",
"state": "SC",
"postal_code": "297203805",
"telephone_number": "803-285-8491",
"fax_number": "803-285-7263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1728 AIRPORT RD",
"city": "LANCASTER",
"state": "SC",
"postal_code": "297203805",
"telephone_number": "803-285-8491",
"fax_number": "803-285-7263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUNDERBURK",
"first_name": "JANET",
"middle_name": "ROSE",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-19",
"last_updated": "2011-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "6779",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "12026",
"primary": false
}
],
"identifiers": [],
"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 Jan 19, 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.