Yvette Bull
Individual provider Active NPI Pharmacist · Santee, SC
NPI 1124577796 · NPPES record last updated Sep 23, 2016
Key facts
- NPI
- 1124577796
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 7613 (SC)
- Practice address
- 240 Planters Trace Rd
Santee, SC 29142-9274 - Phone
- (803) 854-2417
- NPI assigned
- Sep 23, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7613 | SC | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy | Pharmacist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 7613 | SC | Yes |
Addresses
Primary practice location
240 Planters Trace Rd
Santee, SC 29142-9274
Mailing address
240 Planters Trace Rd
Santee, SC 29142-9274
Other providers in Santee, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2016. 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.