Individual provider Active NPI

Tina A Rish, PHARMD

  • Pharmacist
  • Cayce, SC
National Provider Identifier
1144529355
Registry record updated Mar 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
12335 Issued in SC
Practice address
300 Knox Abbott Dr
Cayce, SC 29033-4395
Phone
(803) 926-4974
Fax
(803) 926-8754
NPI assigned
Mar 28, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 12335 SC Primary

Addresses

Primary practice location

300 Knox Abbott Dr
Cayce, SC 29033-4395

Mailing address

300 Knox Abbott Dr
Cayce, SC 29033-4395
Phone (803) 926-4974

Other identifiers 1

IdentifierTypeStateIssuer
12335OtherSTATE LICENSE NUMBER

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
12335SCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301270400000",
    "number": "1144529355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 KNOX ABBOTT DR",
            "city": "CAYCE",
            "state": "SC",
            "postal_code": "290334395",
            "telephone_number": "803-926-4974",
            "fax_number": "803-926-8754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 KNOX ABBOTT DR",
            "city": "CAYCE",
            "state": "SC",
            "postal_code": "290334395",
            "telephone_number": "803-926-4974",
            "fax_number": "803-926-8754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISH",
        "first_name": "TINA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-28",
        "last_updated": "2011-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "12335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "12335",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayce, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.