Active NPI
Derek Bradley Rhodes, PHARMD, BCPS
- Pharmacist
- Columbia, SC
National Provider Identifier
1174809024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13373
- Practice address
- Taylor at Marion St
Columbia, SC 29220-6863 - Phone
- (803) 434-1314
- NPI assigned
- Oct 24, 2011
- Last updated
- Jul 19, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20633 | MD | |
| Pharmacist | 183500000X | 13373 | SC | Primary |
| Pharmacist | 183500000X | RP445807 | PA |
Addresses
Primary practice location
Taylor at Marion St
Columbia, SC 29220-6863
Mailing address
Taylor at Marion Street Dept of Pharmacy
Columbia, SC 29220-0001
Phone (803) 434-1314
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 |
|---|---|---|---|
| 13373 | SC | MD | Specialist |
| RP445807 | PA | MD | Pharmacist |
| 20633 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626652800000",
"number": "1174809024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "TAYLOR AT MARION STREET DEPT OF PHARMACY",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292200001",
"telephone_number": "803-434-1314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "TAYLOR AT MARION ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292206863",
"telephone_number": "803-434-1314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHODES",
"first_name": "DEREK",
"middle_name": "BRADLEY",
"name_prefix": "Dr.",
"credential": "PHARMD, BCPS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-24",
"last_updated": "2021-07-19",
"certification_date": "2021-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "20633",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "13373",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP445807",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.