Individual provider Active NPI

Shemega A Tyson, BS PHARM

  • Pharmacist
  • Columbia, SC
National Provider Identifier
1194805168
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
9965 Issued in SC
Practice address
169 Laurelhurst Ave
Columbia, SC 29210-3825
Phone
(803) 733-5969
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 9965 SC Primary

Addresses

Primary practice location

169 Laurelhurst Ave
Columbia, SC 29210-3825

Mailing address

221 Dawson Rd
Columbia, SC 29223-1704
Phone (803) 733-5969

Other practice location 1

1228 Harden St
Columbia, SC 29204-1800
Phone (803) 748-0482

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
Bachelor of Science, Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
9965SCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1194805168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 DAWSON RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292231704",
            "telephone_number": "803-733-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 LAURELHURST AVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292103825",
            "telephone_number": "803-733-5969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1228 Harden St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292041800",
            "country_code": "US",
            "telephone_number": "803-748-0482",
            "fax_number": "803-748-0597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TYSON",
        "first_name": "SHEMEGA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "BS PHARM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "9965",
            "primary": true
        }
    ],
    "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 Feb 18, 2026; 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.