Active NPI
Madison Caudle, PHARMD
- Pharmacist
- Mount Pleasant, SC
National Provider Identifier
1033685383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 37415
- Practice address
- 389 Johnnie Dodds Blvd
Mt Pleasant, SC 29464-2932 - Phone
- (843) 972-4068
- Fax
- (843) 972-4069
- NPI assigned
- Oct 14, 2018
- Last updated
- Oct 11, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 37415 | SC | Primary |
Addresses
Primary practice location
389 Johnnie Dodds Blvd
Mt Pleasant, SC 29464-2932
Mailing address
212 Evesham Dr
Summerville, SC 29485-5847
Phone (843) 906-3973
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
389 Johnnie Dodds Blvd
Mt Pleasant, SC 29464
Phone (843) 972-4068
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": "1539475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602374400000",
"number": "1033685383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 EVESHAM DR",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294855847",
"telephone_number": "843-906-3973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "389 JOHNNIE DODDS BLVD",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294642932",
"telephone_number": "843-972-4068",
"fax_number": "843-972-4069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAUDLE",
"first_name": "MADISON",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-14",
"last_updated": "2020-10-11",
"certification_date": "2020-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "37415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.