Michael Todd Addington, PHARMD
Individual provider Active NPI Pharmacist · Laurens, SC
NPI 1093017014 · NPPES record last updated Nov 23, 2010
Key facts
- NPI
- 1093017014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 011054 (SC)
- Practice address
- 501 N Harper St
Laurens, SC 29360-2337 - Phone
- (864) 984-3026
- Fax
- (864) 984-9257
- NPI assigned
- Nov 23, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16770 | NC | MD | Pharmacist |
| 011054 | SC | MD | Pharmacist |
| 0202204712 | VA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 011054 | SC | Yes |
| Pharmacist | 183500000X | 0202204712 | VA | |
| Pharmacist | 183500000X | 16770 | NC |
Addresses
Primary practice location
501 N Harper St
Laurens, SC 29360-2337
Mailing address
501 N Harper St
Laurens, SC 29360-2337
Phone (864) 984-3026
Other providers in Laurens, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2010. 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.