Michael Godwin, RPH.
Individual provider Active NPI Pharmacist · Cheraw, SC
NPI 1114283264 · NPPES record last updated Apr 3, 2012
Key facts
- NPI
- 1114283264
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5636 (SC)
- Practice address
- 3825 Orchard Rd
Cheraw, SC 29520-5694 - Phone
- (843) 910-4634
- NPI assigned
- Apr 3, 2012
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5636 | SC | MD | Surgical Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5636 | SC | Yes |
Addresses
Primary practice location
3825 Orchard Rd
Cheraw, SC 29520-5694
Mailing address
3825 Orchard Rd
Cheraw, SC 29520-5694
Other providers in Cheraw, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2012. 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.