Blakely Adams, PHARMD
Individual provider Active NPI Pharmacist · Moncks Corner, SC
NPI 1154046845 · NPPES record last updated Oct 5, 2022
Key facts
- NPI
- 1154046845
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 43716 (SC)
- Practice address
- 402 E Main St
Moncks Corner, SC 29461-3616 - Phone
- (843) 761-5255
- NPI assigned
- Oct 5, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43716 | SC | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 43716 | SC | Yes |
Addresses
Primary practice location
402 E Main St
Moncks Corner, SC 29461-3616
Mailing address
468 E Shoreline Dr
North Augusta, SC 29841-5457
Phone (803) 507-5611
Other providers in Moncks Corner, SC
- Abc Therapies, LLC
- Iman Abdul-Ali
- Jeremy James Ackermann
- Anna Adair
- Williemae H Adetunji
- Richard Albarran
- Whitney E Albert
- All the Time Quailty Care
- Jeremy Blake Alsbrook
All providers in Moncks Corner, SC · Pharmacist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2022. 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.