Active NPI
Shae Abercrombie, PHARMD
- Pharmacist
- Greenville, SC
National Provider Identifier
1003113176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12421
- Practice address
- 11410 Anderson Rd
Greenville, SC 29611-7502 - Phone
- (864) 269-4338
- Fax
- (864) 269-4310
- NPI assigned
- Feb 24, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 12421 | SC | Primary |
| Pharmacist | 183500000X | PS43711 | FL |
Addresses
Primary practice location
11410 Anderson Rd
Greenville, SC 29611-7502
Mailing address
11410 Anderson Rd
Greenville, SC 29611-7502
Phone (864) 269-4338
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 |
|---|---|---|---|
| PS43711 | FL | MD | Pharmacist |
| 12421 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474502400000",
"number": "1003113176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11410 ANDERSON RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296117502",
"telephone_number": "864-269-4338",
"fax_number": "864-269-4310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11410 ANDERSON RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296117502",
"telephone_number": "864-269-4338",
"fax_number": "864-269-4310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABERCROMBIE",
"first_name": "SHAE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-24",
"last_updated": "2016-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "12421",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS43711",
"primary": false
}
],
"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 Sep 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.