Active NPI
Tina Stone Chastain, RPH
- Pharmacist
- Pamplico, SC
National Provider Identifier
1235270109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 08970
- Practice address
- 616 South Walnut Street
Pamplico, SC 29583-0637 - Phone
- (843) 493-2311
- Fax
- (843) 493-3005
- NPI assigned
- Feb 12, 2007
- Sex
- Female
- 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 | 08970 | SC | Primary |
Addresses
Primary practice location
616 South Walnut Street
Pamplico, SC 29583-0637
Mailing address
PO Box 1082
Johnsonville, SC 29555-1082
Phone (843) 386-9518
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08970 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235270109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1082",
"city": "JOHNSONVILLE",
"state": "SC",
"postal_code": "295551082",
"telephone_number": "843-386-9518",
"fax_number": "843-493-3005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "616 SOUTH WALNUT STREET",
"city": "PAMPLICO",
"state": "SC",
"postal_code": "295830637",
"telephone_number": "843-493-2311",
"fax_number": "843-493-3005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHASTAIN",
"first_name": "TINA",
"middle_name": "STONE",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "08970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pamplico, SC
- Aaliyah T Allen, CPT NHA
- Lorraine Sullivan Bennett, COTA/L
- Joseph Leonard Brown, DMD
- Carolinas Medical Alliance Inc
- Carolinas Medical Alliance, Inc
- Kellie White Douglas, PHARM.D
- Exodus Medical Transport of SC
- Florence County School District No. Two
- Hannah Residential Manor, Inc.
- Lane Madison Hodges, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.