Active NPI
Jillian Gouin, PHARMD
- Pharmacist
- Charleston, SC
National Provider Identifier
1073186417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 43029
- Practice address
- 59 George St
Charleston, SC 29401-1422 - Phone
- (843) 720-8523
- NPI assigned
- Jul 22, 2021
- 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 | 43029 | SC | Primary |
Addresses
Primary practice location
59 George St
Charleston, SC 29401-1422
Mailing address
1237 Llewellyn Rd
Mount Pleasant, SC 29464-3816
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 |
|---|---|---|---|
| 43029 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626912000000",
"number": "1073186417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1237 LLEWELLYN RD",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294643816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59 GEORGE ST",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294011422",
"telephone_number": "843-720-8523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOUIN",
"first_name": "JILLIAN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-22",
"last_updated": "2021-07-22",
"certification_date": "2021-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "43029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, SC
- Jay D Gottesman, MD
- Emily Gottfried, PHD
- Joanne Gottschall, RNC, CPM, LM
- Tammy Barnes Gottshalk, FNP-C
- Jameela Sherene Goudarzi, NURSE PRACTITIONER
- Theodore G Gourdin, MD
- Theodore Stewart Gourdin, MD
- Larissa Gouvea Jose Felicio Da Costa, MD
- Christina Elizabeth Gover-O'Donnell, M.S., CDCES, RDN
- Katherine Elizabeth Govoni, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.