Active NPI
Duane Clifton Dennis
- Pharmacist
- Aiken, SC
National Provider Identifier
1114347002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6174
- Practice address
- 2035 Whiskey Rd
Aiken, SC 29803-7956 - Phone
- (803) 648-7766
- Fax
- (803) 648-9121
- NPI assigned
- Apr 18, 2014
- Sex
- Male
- 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 | 6174 | SC | Primary |
Addresses
Primary practice location
2035 Whiskey Rd
Aiken, SC 29803-7956
Mailing address
2035 Whiskey Rd
Aiken, SC 29803-7956
Phone (803) 648-7766
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6174 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397779200000",
"number": "1114347002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2035 WHISKEY RD",
"city": "AIKEN",
"state": "SC",
"postal_code": "298037956",
"telephone_number": "803-648-7766",
"fax_number": "803-648-9121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2035 WHISKEY RD",
"city": "AIKEN",
"state": "SC",
"postal_code": "298037956",
"telephone_number": "803-648-7766",
"fax_number": "803-648-9121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNIS",
"first_name": "DUANE",
"middle_name": "CLIFTON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-18",
"last_updated": "2014-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "6174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aiken, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.