Active NPI
John Ryan Picoulas, PHARM D
- Pharmacist
- Anderson, SC
National Provider Identifier
1982902573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12449
- Practice address
- 2811 N Main St
Anderson, SC 29621-2758 - Phone
- (864) 225-2321
- NPI assigned
- Mar 4, 2011
- Last updated
- Mar 4, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 12449 | SC | Primary |
Addresses
Primary practice location
2811 N Main St
Anderson, SC 29621-2758
Mailing address
2811 N Main St
Anderson, SC 29621-2758
Phone (864) 225-2321
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 |
|---|---|---|---|
| 12449 | SC | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299196800000",
"number": "1982902573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2811 N MAIN ST",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296212758",
"telephone_number": "864-225-2321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2811 N MAIN ST",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296212758",
"telephone_number": "864-225-2321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICOULAS",
"first_name": "JOHN",
"middle_name": "RYAN",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-04",
"last_updated": "2011-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "12449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anderson, SC
- Stephanie D Phillips, DO
- Physician Surgery Center at Anmed Health LLC
- Physician Therapeutic Infusions of the Upsate, LLC
- Diane Piccioni
- Michelle Lewis Pickens
- Piedmont Childrens Clinic
- Piedmont Comprehensive Pain Management
- Piedmont Comprehensive Pain Management Group LLC
- Piedmont Dental Center-Anderson, P.C
- Piedmont Neurology of the Upstate, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.