Active NPI
Cassidy Bates Rentz, PHARM.D., RPH
- Pharmacist
- Mount Pleasant, SC
National Provider Identifier
1063241537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH.60292
- Practice address
- 1401 Ben Sawyer Blvd
Mount Pleasant, SC 29464-4574 - Phone
- (843) 881-1725
- NPI assigned
- Jul 31, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH.60292 | SC | Primary |
Addresses
Primary practice location
1401 Ben Sawyer Blvd
Mount Pleasant, SC 29464-4574
Mailing address
119 Gaura LN
Summerville, SC 29483-8446
Phone (843) 513-3897
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH.60292 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722384000000",
"number": "1063241537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 GAURA LN",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294838446",
"telephone_number": "843-513-3897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 BEN SAWYER BLVD",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294644574",
"telephone_number": "843-881-1725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENTZ",
"first_name": "CASSIDY",
"middle_name": "BATES",
"name_prefix": "Dr.",
"credential": "PHARM.D., RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-31",
"last_updated": "2024-07-31",
"certification_date": "2024-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "PH.60292",
"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 Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.