Active NPI
Shandi Lee Pack, PHARMD
- Pharmacotherapy Pharmacist
- Greenville, SC
National Provider Identifier
1972336931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 35701
- Practice address
- 876 W Faris Rd
Greenville, SC 29605-4253 - Phone
- (864) 455-3645
- Fax
- (864) 455-3927
- NPI assigned
- Aug 23, 2024
- Last updated
- Aug 23, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 35701 | SC | |
| Pharmacotherapy Pharmacist | 1835P1200X | 35701 | SC | Primary |
Addresses
Primary practice location
876 W Faris Rd
Greenville, SC 29605-4253
Mailing address
876 W Faris Rd
Greenville, SC 29605-4253
Phone (864) 455-3645
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 |
|---|---|---|---|
| 35701 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724371200000",
"number": "1972336931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "876 W FARIS RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054253",
"telephone_number": "864-455-3645",
"fax_number": "864-455-3927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "876 W FARIS RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054253",
"telephone_number": "864-455-3645",
"fax_number": "864-455-3927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACK",
"first_name": "SHANDI",
"middle_name": "LEE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-23",
"last_updated": "2024-08-23",
"certification_date": "2024-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "35701",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "SC",
"license": "35701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.