Active NPI
Elizabeth Cammer
- Pharmacist
- Moncks Corner, SC
National Provider Identifier
1134492077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10717
- Practice address
- 110 S Highway 52
Moncks Corner, SC 29461-3954 - Phone
- (843) 761-5506
- NPI assigned
- Feb 22, 2012
- Last updated
- Feb 22, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 10717 | SC | Primary |
Addresses
Primary practice location
110 S Highway 52
Moncks Corner, SC 29461-3954
Mailing address
1303 Wind Swept CT
Hanahan, SC 29410-8406
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 |
|---|---|---|---|
| 10717 | SC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bi-Lo Pharmacy | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pharmacy
- Moncks Corner, SC
- NPI 1679840490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329868800000",
"number": "1134492077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1303 WIND SWEPT CT",
"city": "HANAHAN",
"state": "SC",
"postal_code": "294108406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 S HIGHWAY 52",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "294613954",
"telephone_number": "843-761-5506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMMER",
"first_name": "ELIZABETH",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-22",
"last_updated": "2012-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "10717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moncks Corner, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.