Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jason Basham

Individual provider Pharmacist · NPI 1194181669

Jason Basham is a Pharmacist in Conway, South Carolina. Licensed in Kentucky and South Carolina. Registered with an NPI since 2016.

Licensed in
KY, SC
In the registry since
2016
Specialties on file
2

Practice location Address checks out

2219 Main St
Conway, SC 29526-3340
Phone: (843) 488-4400
Fax: (843) 488-4405
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 9657 (SC)
Pharmacist Taxonomy 183500000X · Licence 011627 (KY)

Record details

NPI number1194181669
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 13, 2016
Last updated in NPPESJanuary 13, 2016

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