Active NPI
Kane Vaughn Summer, PHARMD
- Pharmacist
- Prosperity, SC
National Provider Identifier
1932675147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 37689
- Practice address
- 101 N Main Street
Prosperity, SC 29127 - Phone
- (803) 364-2310
- NPI assigned
- Oct 16, 2018
- Last updated
- Oct 16, 2018
- Sex
- Male
- Sole proprietor
- No
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 | 37689 | SC | Primary |
Addresses
Primary practice location
101 N Main Street
Prosperity, SC 29127
Mailing address
1131 Halfacre Rd
Newberry, SC 29108-8196
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37689 | Other | SC | SOUTH CAROLINA BOARD OF PHARMACY - PHARMACY LICENSE NUMBER |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pugh Drug Inc | Past | Accepting new patients | |
| Pugh Drug Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Long Term Care Pharmacy
- Prosperity, SC
- NPI 1831972736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539648000000",
"number": "1932675147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1131 HALFACRE RD",
"city": "NEWBERRY",
"state": "SC",
"postal_code": "291088196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 N MAIN STREET",
"city": "PROSPERITY",
"state": "SC",
"postal_code": "29127",
"telephone_number": "803-364-2310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMER",
"first_name": "KANE",
"middle_name": "VAUGHN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-16",
"last_updated": "2018-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "37689",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTH CAROLINA BOARD OF PHARMACY - PHARMACY LICENSE NUMBER",
"identifier": "37689",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Prosperity, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.