Active NPI
Kristen Scott, PHARMD
- Pharmacist
- Manning, SC
National Provider Identifier
1235783416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 42096
- Practice address
- 119 W Boyce St
Manning, SC 29102-3002 - Phone
- (803) 435-8804
- NPI assigned
- Jul 26, 2019
- 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 | 42096 | SC | Primary |
Addresses
Primary practice location
119 W Boyce St
Manning, SC 29102-3002
Mailing address
612 Pasdalum CT
Charleston, SC 29414-7990
Phone (843) 637-0616
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 |
|---|---|---|---|
| 42096 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564099200000",
"number": "1235783416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 PASDALUM CT",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294147990",
"telephone_number": "843-637-0616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 W BOYCE ST",
"city": "MANNING",
"state": "SC",
"postal_code": "291023002",
"telephone_number": "803-435-8804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "KRISTEN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-26",
"last_updated": "2019-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "42096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manning, SC
- Santee Cooper Urgent Care Inc
- Santee-Cooper Hospice, LLC
- Allison Elaine Saran, CNM, WHNP-BC
- Sautee Cooper Birthing Center
- SC Department of Juvenile Justice
- Natalie Marie Scott, LMHC, LPC, MAC, CS
- Select Laboratories SC LLC
- Select Toxicology Lab STL LLC
- Select Toxicology Labs, LLC
- Courtney Sennett, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.