Amy Bagwell
Individual provider Active NPI Pharmacist · Columbia, SC
NPI 1013266469 · NPPES record last updated Aug 30, 2012
Key facts
- NPI
- 1013266469
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 13305 (SC)
- Practice address
- 2571 Forest Dr
Columbia, SC 29204-2029 - Phone
- (803) 254-2376
- NPI assigned
- Aug 30, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13305 | SC | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13305 | SC | Yes |
Addresses
Primary practice location
2571 Forest Dr
Columbia, SC 29204-2029
Mailing address
2571 Forest Dr
Columbia, SC 29204-2029
Phone (803) 254-2376
Other providers in Columbia, SC
- David Baehren
- Bagga Optometry LLC
- Teresa N Baggett
- Carolane Bagnal
- Nicholas Bagnell
- Adam J Baier
- Kathryn Marie Bailes
- Bailey B LMT, LLC
- Lydia Celestine Bailey-Padgett
- Abigail Suzanne Bailey
All providers in Columbia, SC · Pharmacist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.