Active NPI
Avis Rochelle White, RPH
- Pharmacist
- Fort Mill, SC
National Provider Identifier
1093011454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10406
- Practice address
- 510 Tom Hall St
Fort Mill, SC 29715-2035 - Phone
- (803) 547-5586
- Fax
- (803) 547-5695
- NPI assigned
- Feb 2, 2011
- Last updated
- Feb 2, 2011
- 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 | 10406 | SC | Primary |
Addresses
Primary practice location
510 Tom Hall St
Fort Mill, SC 29715-2035
Mailing address
8303 Denholme Dr
Waxhaw, NC 28173-8066
Phone (704) 843-8295
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10406 | SC | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296604800000",
"number": "1093011454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8303 DENHOLME DR",
"city": "WAXHAW",
"state": "NC",
"postal_code": "281738066",
"telephone_number": "704-843-8295",
"fax_number": "704-843-8295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 TOM HALL ST",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297152035",
"telephone_number": "803-547-5586",
"fax_number": "803-547-5695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "AVIS",
"middle_name": "ROCHELLE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-02",
"last_updated": "2011-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "10406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.