Active NPI
Catherine Elizabeth O'Brien, PHARMD
- Pharmacist
- Taylors, SC
National Provider Identifier
1164717757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- SC 7756
- Practice address
- 6025 Wade Hampton Blvd
Target 1937
Taylors, SC 29687-5334 - Phone
- (864) 879-9721
- Fax
- (864) 978-9721
- NPI assigned
- Jun 13, 2011
- Sex
- Female
- Sole proprietor
- No
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 | SC 7756 | SC | Primary |
Addresses
Primary practice location
6025 Wade Hampton Blvd
Target 1937
Taylors, SC 29687-5334
Mailing address
30 Muirfield Way
Spartanburg, SC 29306-6677
Phone (864) 597-0042
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
| License | State | Type | Specialty |
|---|---|---|---|
| SC 7756 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina CVS Pharmacy LLC | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307923200000",
"number": "1164717757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 MUIRFIELD WAY",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293066677",
"telephone_number": "864-597-0042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6025 WADE HAMPTON BLVD",
"address_2": "TARGET 1937",
"city": "TAYLORS",
"state": "SC",
"postal_code": "296875334",
"telephone_number": "864-879-9721",
"fax_number": "864-978-9721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRIEN",
"first_name": "CATHERINE",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-13",
"last_updated": "2011-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "SC 7756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Taylors, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.