Individual provider Active NPI

Pamela L Hourihan, PHARMD

  • Pharmacist
  • Mount Pleasant, SC
National Provider Identifier
1104169325
Registry record updated Apr 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
12658 Issued in SC
Practice address
1113 Quiet Rd
Mount Pleasant, SC 29464-3628
Phone
(843) 568-8632
NPI assigned
Apr 6, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 12658 SC Primary

Addresses

Primary practice location

1113 Quiet Rd
Mount Pleasant, SC 29464-3628

Mailing address

1004 Millies Way Dr
Moncks Corner, SC 29461-4427
Phone (843) 568-8632

Other identifiers 1

IdentifierTypeStateIssuer
12658OtherSCSC PHARMACY LICENSE

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

LicenseStateTypeSpecialty
12658SCMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1104169325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 MILLIES WAY DR",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294614427",
            "telephone_number": "843-568-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 QUIET RD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643628",
            "telephone_number": "843-568-8632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOURIHAN",
        "first_name": "PAMELA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-06",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "12658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC PHARMACY LICENSE",
            "identifier": "12658",
            "state": "SC"
        }
    ],
    "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 Apr 9, 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.

Verify at the official NPI Registry.