Active NPI
Timothy Wayne McJunkin
- Pharmacotherapy Pharmacist
- Greer, SC
National Provider Identifier
1972105633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 9415
- Practice address
- Greer Memorial Hospital
830 S. Buncombe Road
Greer, SC 29650 - Phone
- (864) 797-8089
- Fax
- (864) 797-8096
- NPI assigned
- Nov 9, 2020
- Last updated
- Nov 9, 2020
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 9415 | SC | Primary |
Addresses
Primary practice location
Greer Memorial Hospital
830 S. Buncombe Road
Greer, SC 29650
Mailing address
222 Stoney Creek Dr
Greenville, SC 29607-5837
Phone (864) 525-5855
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9415 | SC | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604880000000",
"number": "1972105633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 STONEY CREEK DR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296075837",
"telephone_number": "864-525-5855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "GREER MEMORIAL HOSPITAL",
"address_2": "830 S. BUNCOMBE ROAD",
"city": "GREER",
"state": "SC",
"postal_code": "29650",
"telephone_number": "864-797-8089",
"fax_number": "864-797-8096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCJUNKIN",
"first_name": "TIMOTHY",
"middle_name": "WAYNE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-09",
"last_updated": "2020-11-09",
"certification_date": "2020-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "SC",
"license": "9415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greer, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.