Tellis Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

TELLIS PHARMACY INC

Practice address

125 King St
Charleston, SC 29401-2208

Phone

(843) 723-0682

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Vera J Tellis, RPH BS PHARM

Title

Pharmacist

Phone

(843) 723-0682

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Independant Pharmacy Retail Former legal business name

Locations

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1275756223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 KING ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294012208",
            "telephone_number": "843-423-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 KING ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294012208",
            "telephone_number": "843-723-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELLIS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "TELLIS",
        "authorized_official_first_name": "VERA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "843-723-0682",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH BS PHARM"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SID #",
            "identifier": "01 180790000017",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERMIT",
            "identifier": "5000 1824",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Independant Pharmacy Retail",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jenna Rose Tedder, RN
• Ryan James Tedford, M.D.
• Alexander Teefey, D.O.
• Malea Joy Teerman
• Charles Spencer Teixeira, DO
• Victoria Elyse Telson, RBT
• Audrey Christine Temelini, DIPL. AC.
• Melanie Temponeras, QMHS BA
• Richard T Tenczar, MD
• Madison Tepfenhart

• Pharmacy in Charleston, SC
• Providers in Charleston, SC by specialty
• Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.