Detyens Medical Center

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

DETYENS MEDICAL CENTER

Practice address

1670 Drydock Avenue
Building 10, Suite a
North Charleston, SC 29405

Phone

(843) 747-3284

Fax

(843) 308-6570

NPI assigned

Nov 3, 2020

Organization subpart

Yes

Parent organization

DETYENS MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Mrs. Debra Lynn Gaskins, RPH

Title

Pharmacist-in-Charge

Phone

(843) 747-3284

Specialties & licenses 1

Addresses

Other names 1

• Detyens Medical Center Pharmacy Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Detyens Medical Center

Locations

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1134720535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 DRYDOCK AVENUE",
            "address_2": "BUILDING 10, SUITE A",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "29405",
            "telephone_number": "843-747-3284",
            "fax_number": "843-308-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 DRYDOCK AVENUE",
            "address_2": "BUILDING 10, SUITE A",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "29405",
            "telephone_number": "843-747-3284",
            "fax_number": "843-308-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETYENS MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DETYENS MEDICAL CENTER",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "GASKINS",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "843-747-3284",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Detyens Medical Center Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Kenneth Michael Desart, M.D.
• Sara Desmarais, DPT
• George A Deussing, DDS
• Lashawn Audra Devine, REGISTER NURSE
• Holly N. Devol, RN
• Jon P Devries, MD
• Wynne Dexter

• Community/Retail Pharmacy in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Community/Retail Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.