Individual provider Active NPI

Ansley Dirst Oglesby, PHARMD

  • Pharmacist
  • Fairfax, SC
National Provider Identifier
1962334896
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
67770 Issued in SC
Practice address
333 Revolutionary TRL
Fairfax, SC 29827-7109
Phone
(803) 632-1951
NPI assigned
Jun 3, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH035216 GA
Pharmacist 183500000X 67770 SC Primary

Addresses

Primary practice location

333 Revolutionary TRL
Fairfax, SC 29827-7109

Mailing address

641 Parker Rd
Sylvania, GA 30467-5179

Other practice location 1

127 N Main St
Sylvania, GA 30467-1818
Phone (912) 564-7002

Other identifiers 2

IdentifierTypeStateIssuer
67770OtherSCSOUTH CAROLINA BOARD OF PHARMACY
RPH035216OtherGAGEORGIA BOARD OF PHARMACY

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

LicenseStateTypeSpecialty
RPH035216GAMDPharmacist
67770SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Propharmahp LLC Pharmacist Past Accepting new patients
Propharmahp LLC PastSince Feb 11, 2024 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1780444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1962334896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 PARKER RD",
            "city": "SYLVANIA",
            "state": "GA",
            "postal_code": "304675179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 REVOLUTIONARY TRL",
            "city": "FAIRFAX",
            "state": "SC",
            "postal_code": "298277109",
            "telephone_number": "803-632-1951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127 N Main St",
            "address_purpose": "LOCATION",
            "city": "Sylvania",
            "state": "GA",
            "postal_code": "304671818",
            "country_code": "US",
            "telephone_number": "912-564-7002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGLESBY",
        "first_name": "ANSLEY",
        "middle_name": "DIRST",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-03",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH035216",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "67770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH CAROLINA BOARD OF PHARMACY",
            "identifier": "67770",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA BOARD OF PHARMACY",
            "identifier": "RPH035216",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; 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.