Active NPI
Anthony Coaxum, PHARMD
- Pharmacist
- Ladson, SC
National Provider Identifier
1225287675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12168
- Practice address
- 9625 Highway 78
Ladson, SC 29456-3913 - Phone
- (843) 818-1190
- Fax
- (843) 818-1191
- NPI assigned
- Sep 10, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12168 | SC | Primary |
Addresses
Primary practice location
9625 Highway 78
Ladson, SC 29456-3913
Mailing address
9625 Highway 78
Ladson, SC 29456-3913
Phone (843) 818-1190
Other practice location 1
1300 Long Grove Dr
Mount Pleasant, SC 29464-9462
Phone (843) 388-8769
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567641600000",
"number": "1225287675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9625 HIGHWAY 78",
"city": "LADSON",
"state": "SC",
"postal_code": "294563913",
"telephone_number": "843-818-1190",
"fax_number": "843-818-1191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9625 HIGHWAY 78",
"city": "LADSON",
"state": "SC",
"postal_code": "294563913",
"telephone_number": "843-818-1190",
"fax_number": "843-818-1191"
}
],
"practiceLocations": [
{
"address_1": "1300 Long Grove Dr",
"address_purpose": "LOCATION",
"city": "Mount Pleasant",
"state": "SC",
"postal_code": "294649462",
"country_code": "US",
"telephone_number": "843-388-8769",
"fax_number": "843-388-8769",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COAXUM",
"first_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-10",
"last_updated": "2019-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "12168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ladson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.